Eur J Pediatr Surg 2011; 21(3): 207-208
DOI: 10.1055/s-0031-1271811
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© Georg Thieme Verlag KG Stuttgart · New York

Bilateral Focal Xanthogranulomatous Pyelonephritis in a Child Presenting as Complex Cystic Renal Mass: A Report on Non-surgical Treatment

K. Shah1 , M. Parikh1 , B. Pal1 , P. Modi1
  • 1Smt. G. R. Doshi, and Smt. K. M. Mehta J Institute of Kidney Disease and Research Centre and Dr. H. L. Trivedi J Institute of Transplantation Sciences, Department of Urology, Ahmedabad, India
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Publication History

Publication Date:
08 April 2011 (online)


Xanthogranulomatous pyelonephritis (XGPN) is a distinct, severe, atypical and chronic renal parenchymal infection. It is encountered predominantly in middle-aged women and is relatively rare in childhood [1]. XGPN occurs predominantly unilaterally, and bilateral disease is extremely rare [2] [3] [4] [5] [6]. It may present either as diffuse or, less commonly, as a focal infection. This uncommon condition is characterized by invasion to surrounding structures. Its resemblance to tumoral features presents a diagnostic and therapeutic challenge. Nephrectomy is usually indicated for unilateral XGPN, and the prognosis is excellent if treated early [1]. However, the management of XGPN is difficult due to the risk of permanent renal dysfunction. We report a rare case of bilateral focal XGPN in a child presenting with a complex renal mass managed non-surgically.


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Dr. Pranjal Modi

Institute of Kidney Disease and Research Centre

Institute of Transplantation Sciences

Department of Urology and Transplantation


Civil Hospital Campus

380016 Ahmedabad


Phone: +91 792 2685 600

Fax: +91 792 2685 454