Renal abscess and desmoid tumour

Case contributed by Dr Ahmed Abd Rabou

Presentation

Left loin pain, dysuria and fever of 1 week duration

Patient Data

Age: 35 years old
Gender: Female

An abscess involving the anterior cortex of left kidney with fluid and air inside and perinephric fat infiltration. Another fluid collection is seen at subcapsular area of posterior left kidney as well as the left psoas muscle (psoas abscess).

An air locule is also seen within the urinary bladder.

An incidentally discovered desmoid tumor of the right posterior thoracolumbar fascia displaying isodense texture to the adjacent muscle is shown.

Diagnosis: Left renal abscess complicated with psoas abscess and incidentally discovered thoracolumbar fascia desmoid tumor.

Case Discussion

Desmoid tumor can be accidentally discovered as in this case, which usually occurs in 20-40 years of age and more common in female. Theories claim that it is related to estrogen hormone.

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Case information

rID: 24328
Case created: 7th Aug 2013
Last edited: 28th Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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