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題 名 | Diffuse Xanthogranulomatous Pyelonephritis and Staghorn Calculus: Report of One Case=一兒童患有瀰漫性黃色肉芽腫腎盂腎炎和鹿角石 |
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作 者 | 陳宗義; 余燦榮; 高常發; 黃昭誠; 田祐霖; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 45:1 民93.01-02 |
頁 次 | 頁45-47+63 |
分類號 | 417.5746 |
關鍵詞 | 黃色肉芽腫腎盂腎炎; 鹿角石; 腎臟切除; Xanthogranulomatous pyelonephritis; Staghorn calculus; Nephrectomy; |
語 文 | 英文(English) |
中文摘要 | 黃色肉芽腫腎盂腎炎和鹿角石皆罕見於兒童。在這篇報告中,我們描述了一名無泌尿道炎病史的男孩逐漸發展出左腰下疼痛。尿液培養發現變形杆菌感染。超音波及腹部電腦斷層發現曲型黃色肉芽腫腎盂腎炎和鹿角石表現。光學顯微鏡發現特色性充滿脂肪的吞噬細胞聚集。在腎臟切除後,症狀消失。結論,在有鹿角石及慢性腰痛而沒有發燒的兒童應考慮黃色肉芽腫腎盂腎炎的可能。 |
英文摘要 | Xanthogranulomatous pyelonephritis and staghorn calculus are rare in children. In this report, we describe a Chinese boy without history of urinary tract infection who developed insidious onset of left flank pain. Urine culture showed Proteus mirabilis infection. Sonography and computed tomography of the abdomen showed typical picture of xanthogranulomatous pyelonephritis and staghorn calculus. Photomicrography showed characteristic lipid-laden macrophage aggregates. After nephrectomy, he was symptom-free. In conclusion, xanthogranulomatous pyelonephritis should be considered in afebrile children with flank pain and staghorn calculus. |
本系統中英文摘要資訊取自各篇刊載內容。