Renal abscess and desmoid tumor
Left loin pain, dysuria and fever of 1 week duration
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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.
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.
- 1. Dinauer PA, Brixey CJ, Moncur JT et-al. Pathologic and MR imaging features of benign fibrous soft-tissue tumors in adults. Radiographics. 2007;27 (1): 173-87. Radiographics (full text) - doi:10.1148/rg.271065065 - Pubmed citation
- 2. Federle MP, Jeffrey RB, Woodward PJ et-al. Diagnostic Imaging. Lippincott Williams & Wilkins. (2009) ISBN:1931884714. Read it at Google Books - Find it at Amazon
11 public playlist include this case
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- GIT by Dr Rob Henderson
- Board Tutorial Viva by Dr mohanad Aftan
- MSK (part 4) by Taimur
- Abdo - Adult Clinical Conditions - Renal by Dr Charlie Handley
- Onco7-P14 by tuanleminh
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- 9th Jan by dr [email protected]
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