Bear Paw Sign: Xanthogranulomatous Pyelonephritis

Authors

  • Pablo Garrido Abad
  • Miguel Angel Rodrí­guez-Cabello
  • Roberto Vera-Berón
  • Arturo Platas-Sancho

DOI:

https://doi.org/10.3941/jrcr.v12i11.3415

Keywords:

Xantogranulomatous, Pyelonephritis, Urinary stone, Complication, Computed Tomography

Abstract

Xanthogranulomatous pyelonephritis is a rare form of chronic pyelonephritis in which the involved areas of the kidneys are destroyed and replaced by foam cells. It usually occurs in immunocompromised middle-aged females with ureteral obstruction or chronic urinary tract infection induced by the formation of renal stones. We herein report the case of a 44-year-old woman, with a history of left kidney staghorn calculi and recurrent urinary tract infections. Abdominal computed tomography showed the 'bear paw' sign, typical appearance of XGP and patient underwent a nephrectomy with uneventful post-operative course.

Author Biography

Pablo Garrido Abad

Universidad Francisco de Vitoria. Madrid. Spain.

Published

2018-11-27

Issue

Section

Genitourinary Radiology