Please use this identifier to cite or link to this item: http://adhlui.com.ui.edu.ng/jspui/handle/123456789/2549
Title: Chronic pyonephrosis associated with renal neovascularisation
Authors: Eke, N
Echem, RC
Keywords: Chronic pyonephrosis
mesenteric invasion
radiological
neovascularisation
Issue Date: Sep-2004
Publisher: COLLEGE OF MEDICINE
Citation: Afr, J Med. med. Sci (2004) 33:267-269
Abstract: The spectrum of renal tract infections is wide. When the kidney has been severely damaged, the findings may suggest a malignancy. To report a case of chronic pyonephrosis, which even at exploration appeared to be a malignancy. The case record of the patient as well as the literature were reviewed and reported. A 25 year-old woman presented with a 5-year history of left lumbar pain, urinary frequency and intermittent total hacmaturia . The intravenous urography showed non-function in the left kidney harbouring a calculus. Treatment was delayed for poor finances. At laparotomy a huge renal mass invading the colonic mesentery and showing neovascularisation was removed . The final diagnosis was chronic pyonephrosis. She recovere d from postoperative septicaemia. Neovascularisation is a feature of malignant disease mediated by angiogenesis factors. These factors arc probably present in chronic inflammation. It is suggested that for nephrectomy, prophylactic antibiotics should be used. There is also a need for histopathological examination of every specimen removed at operation.
Description: Article
URI: http://adhlui.com.ui.edu.ng/jspui/handle/123456789/2549
ISSN: 1116-4077
Appears in Collections:African Journal of Medicine and Medical Sciences

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