Work

An abnormal presentation of Xanthogranulomatous Pyelonephritis

Year: 2026

Type: article

Abstract: Xanthogranulomatous Pyelonephritis (XGP) is commonly misdiagnosed as it can mimic several other pathological conditions. Here we report a case of a 55-year-old female with XGP presenting with pneumomediastinum and associated pleural effusions. The patient was successfully managed with exploratory thoracotomy, mediastinal washout, right lung decortication, and open right nephrectomy to achieve source control. Recognition of this novel complication of XGP is essential for accurate diagnosis and appropriate management, and highlights the importance of counseling patients with existing ureteral stents or nephrostomy tubes about the need for periodic exchanges.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103462

Authors: Robenson Nguyen, Robert Smith, Alexandra Darien, Michael A. Deal, Ngoc-Quynh Chu, Lindsey Cox

Institutions: Campbell University, Medical University of South Carolina

Language: English

Topic: Urinary Tract Infections Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160