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Urothelial Carcinoma of the Renal Pelvis Mimicking Acute Pyelonephritis with Abscess

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Journal Title
Keimyung Medical Journal
Issued Date
2013
Keyword
PyelonephritisRenal abscessUrothelial carcinoma
Abstract
Primary tumors of the renal pelvis and collecting system are relatively uncommon. Their clinical presentation is nonspecific and variable, and they can be mistaken for a variety of conditions, including acute pyelonephritis or renal abscesses. A 75-year-old man have had abdominal pain for one week. He was diagnosed for acute pyelonephritis based on the radiologic findings initially. Repeated abdominal computed tomography was done after 3 months later, because of the relapsed abdominal pain. Abdominal computed tomography revealed lobulated abscess in the left kidney with enlarged central necrotic para-aortic lymph nodes. Laparoscopic excisional biopsy was performed at necrotizing lymph node and the histologic evaluation revealed an urothelial carcinoma. This report presents an unusual case of urothelial carcinoma that initially mimicked acute pyelonephritis but presented as a renal abscess several months later.
Alternative Title
Urothelial Carcinoma of the Renal Pelvis Mimicking Acute
Pyelonephritis with Abscess
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.32(2) : 191-195, 2013
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15617
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2013
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