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RADIOLOGICAL QUIZ Table of Contents   
Year : 2002  |  Volume : 12  |  Issue : 1  |  Page : 117-119
Radiological quiz - abdomen


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How to cite this article:
Gupta R, Upreti L, Bhargava S K, Deepshikha. Radiological quiz - abdomen. Indian J Radiol Imaging 2002;12:117-9

How to cite this URL:
Gupta R, Upreti L, Bhargava S K, Deepshikha. Radiological quiz - abdomen. Indian J Radiol Imaging [serial online] 2002 [cited 2020 Jul 11];12:117-9. Available from:
A thirty-year-old man presented with a discharging sinus in the left loin for the past thirty days. He gave a history of drainage of the left loin abscess six months ago. At that time ultrasound and X-ray of KUB region had shown left renal calculi and an abnormal left kidney along with the left loin collection. History of episodic left flank pain for the last five years was present. No significant finding was noted on physical examination apart from the discharging sinus in the left loin. Urine examination showed numerous pus cells. Culture of urine and discharge from the sinus grew Staphylococcus aureus

Plain skiagram, Sinogram, ultrasound and CT scan were performed [Figure - 1].,[Figure - 2],[Figure - 3],[Figure - 4],[Figure - 5]. What is the diagnosis?

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   References Top

1.Honda H, McGuire CW, Barloon TJ, Hashimoto K. Replacement lipomatosis of kidney: CT features. JCAT 1990; 14(2): 229-231.  Back to cited text no. 1    
2.Gildenhorn HL. Renal replacement lipomatosis: review and case report. JAMA 1962; 11: 233-9.  Back to cited text no. 2    
3.Karasick S, Wechsler RJ. Case 23: replacement lipomatosis of the kidney. Radiology 2000; 215: 754-756.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]
4.Subramanyam B, Bosniak M, Horo S, Megibow A, Balthazar E. Replacement lipomatosis of the kidney: diagnosis by computed tomography and sonography. Radiology 1983; 148: 791-792.  Back to cited text no. 4    
5.Nicholson DA. Case report: replacement lipomatosis of the kidney-unusual CT features. Clin Radiol 1992; 45: 42-43.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]
6.Frederick MG, Hall BP. Genitourinary case of the day. Replacement lipomatosis of the kidney. AJR 1995; 165: 200.  Back to cited text no. 6    
7.Goldman SM, Hartman DS, Fishman EK, Finizio JP, Gatewood OMB, Siegelman SS. CT of Xanthogranulomatous pyelonephritis: radiologic Pathologic correlation. AJR 1984; 142: 963-969.  Back to cited text no. 7    
8.Acunas B, Acunas G, Rozanes I, Buyokbabani N, Gokmen E. Coexistent Xanthogranulomatous pyelonephritis and massive replacement lipomatosis of the kidney: CT diagnosis. Urol Radiol 1990; 12: 88-90.  Back to cited text no. 8    

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[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5]


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