A Case of Renal Inflammatory Pseudotumor Leading to Nephrectomy

Inflammatory pseudotumor (IPT) of the kidney is a rare benign disorder with unknown etiology. In IPT patients, some nonspecific symptoms might present, such as fever, hematuria, and back pain. As it can appear on computed tomography and magnetic resonance imaging as a hypovascular mass with surround...

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Published inJIM - high impact case reports Vol. 9; p. 23247096211003224
Main Authors Tuan Linh, Le, Minh Duc, Nguyen, Tra My, Thieu-Thi, Nhan Hien, Phan, Ngoc Minh, Tran, Van Lenh, Bui
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 2021
Sage Publications Ltd
SAGE Publishing
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Summary:Inflammatory pseudotumor (IPT) of the kidney is a rare benign disorder with unknown etiology. In IPT patients, some nonspecific symptoms might present, such as fever, hematuria, and back pain. As it can appear on computed tomography and magnetic resonance imaging as a hypovascular mass with surrounding fat stranding, IPT can be misdiagnosed as a primary tumor. Since the clinical symptoms, radiographic features, and preoperative findings can be inconsistent, it is imperative to confirm IPT based on histopathological assessment. In the present study, we describe a case of renal IPT in a 13-year-old girl. The patient was treated with nephrectomy of the right kidney since the preoperative diagnosis was renal carcinoma. Pathological examination revealed an IPT. This article emphasizes the importance of preoperative definitive diagnosis in avoiding unnecessary nephrectomy.
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Two authors contributed equally to this article and are co–first authors.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096211003224