ReviewLa Radiologia medica2021
Complicated pyelonephritis associated with chronic renal stone disease.
Review in La Radiologia medica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Xanthogranulomatous pyelonephritis: a review and meta-analysis with a focus on management.International urology and nephrology · 2022Pooled it
- Emphysematous pyelonephritis in a pelvic ectopic kidney: A rare case report.Radiology case reports · 2026Article
- Xanthogranulomatous pyelonephritis presenting as a mass-like renal lesion mimicking neoplasia in a dog: first documented case and diagnostic considerations.BMC veterinary research · 2026Article
- Colon adenocarcinoma hidden behind emphysematous pyelonephritis: A case report.Oncology letters · 2025Article
- Xanthogranulomatous Pyelonephritis: A Case Report and Literature Review.Clinical case reports · 2025Article
- Kidney and gallbladder stones and the risk of prostate cancer: Results from the EPICAP study.PloS one · 2025Article
- Abdominal compartment syndrome: what radiologist needs to know.La Radiologia medica · 2023Review
- Article
- Imaging of metabolic and overload disorders in tissues and organs.Japanese journal of radiology · 2023Review
- Clinical Presentation, Microbiological Characteristics, and Their Implications for Perioperative Outcomes in Xanthogranulomatous Pyelonephritis: Perspectives from a Real-World Multicenter Practice.Pathogens (Basel, Switzerland) · 2023Article
- Computed Tomography Urography: State of the Art and Beyond.Tomography (Ann Arbor, Mich.) · 2023Review
- MDCT Diagnosis and Staging of Xanthogranulomatous Pyelonephritis.Diagnostics (Basel, Switzerland) · 2023Article
- Diffusion weighted imaging and diffusion kurtosis imaging in abdominal oncological setting: why and when.Infectious agents and cancer · 2022Review
- Feasibility of using CT radiomic signatures for predicting CD8-T cell infiltration and PD-L1 expression in renal cell carcinoma.European journal of radiology open · 2022Article
- CT-guided percutaneous drainage of abdominopelvic collections: a pictorial essay.La Radiologia medica · 2021Review
- An Unusual Presentation of Pyelonephritis: Is It COVID-19 Related?SN comprehensive clinical medicine · 2021Article
- Emphysematous pyelonephritis: classification, management, and prognosis.Tzu chi medical journalReview
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis article reviews imaging manifestations of complicated pyelonephritis associated with chronic renal stones disease, in particular xanthogranulomatous pyelonephritis (XGP) and emphysematous pyelonephritis (EPN), as potential mimics of other renal diseases and malignances and provides helpful tips and differentiating features that may alert the radiologist to suspect a diagnosis of infection. MATERIALS AND
methodsA retrospective review of the records from 6 adult patients (5 females and 1 male, mean age 72,3 years) with diagnosis of XGP associated with chronic nephrolithiasis and 7 adult patients (6 females and 1 male, mean age 59,3 years) with diagnosis of EPN associated with chronic nephrolithiasis from January 2010 to January 2020 was carried out. Computed tomography urography (CTU) with at least an unenhanced scan, and the parenchymal and excretory phases after contrast medium administration performed at our Teaching Hospital were included. When available images related to conventional radiography, ultrasound (US) and magnetic resonance imaging of the same patients, the comparison with CTU images was carried out.
conclusionA possible diagnosis of XGP or EPN must always be taken into account when a pyelonephritis is associated with untreated kidney stones, especially whenever clinical presentation is atypical, current therapy is not effective and imaging shows features of dubious interpretation. Due to their rarity and atypical presentation, a multidisciplinary approach is required and an expert radiologist represents a key figure in the multidisciplinary team as he can help to differentiate between benign and malignant lesions and thus avoid unnecessary radical surgical procedures.
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