1. Incidentally found focal xanthogranulomatous pyelonephritis with extensive venous thrombus.
- Author
-
Daily AM, Donahue RP, Olgac S, Kuhr CS, and Kozlowski PM
- Subjects
- Aged, Female, Humans, Nephrectomy methods, Retrospective Studies, Thrombectomy methods, Vena Cava, Inferior pathology, Carcinoma, Renal Cell complications, Carcinoma, Renal Cell diagnostic imaging, Carcinoma, Renal Cell surgery, Kidney Neoplasms complications, Kidney Neoplasms diagnosis, Kidney Neoplasms surgery, Pyelonephritis, Xanthogranulomatous diagnosis, Pyelonephritis, Xanthogranulomatous diagnostic imaging, Thrombosis pathology, Thrombosis surgery, Venous Thrombosis complications, Venous Thrombosis diagnostic imaging, Venous Thrombosis surgery
- Abstract
A 71-year-old woman with history of asthma presented with 2 months history of shortness of breath; on imaging an incidental left renal mass was noted. Subsequent renal protocol CT was obtained that showed a 4.5 cm left upper pole exophytic mass with renal vein thrombus extending into the inferior vena cava to the level of the caudate lobe concerning for renal cell carcinoma. She underwent an open left radical nephrectomy and IVC thrombectomy with subsequent postoperative pathology demonstrating xanthogranulomatous pyelonephritis without renal cell carcinoma.
- Published
- 2022