Pan HH, Luo YJ, Zhu QG, Ye LF. Renal papillary necrosis with urinary tract obstruction: A case report. World J Clin Cases 2022; 10(16): 5400-5405 [PMID: 35812662 DOI: 10.12998/wjcc.v10.i16.5400]
Corresponding Author of This Article
Lie-Fu Ye, Doctor, MD, Director, Professor, Department of Urology, Shengli Clinical Medical College of Fujian Medical University, No. 134 East Street, Gulou District, Fuzhou 350001, Fujian Province, China. fjslylf@126.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2022; 10(16): 5400-5405 Published online Jun 6, 2022. doi: 10.12998/wjcc.v10.i16.5400
Renal papillary necrosis with urinary tract obstruction: A case report
Hong-Hong Pan, Yi-Jia Luo, Qing-Guo Zhu, Lie-Fu Ye
Hong-Hong Pan, Qing-Guo Zhu, Lie-Fu Ye, Department of Urology, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, Fujian Province, China
Yi-Jia Luo, Department of Ultrasound, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, Fujian Province, China
Author contributions: Ye LF and Pan HH conceived the work; Pan HH, Luo YJ and Zhu QG conducted the work and acquired the data; Ye LF conducted the revision; all authors treated and provided care for the patient; all authors reviewed the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lie-Fu Ye, Doctor, MD, Director, Professor, Department of Urology, Shengli Clinical Medical College of Fujian Medical University, No. 134 East Street, Gulou District, Fuzhou 350001, Fujian Province, China. fjslylf@126.com
Received: September 15, 2021 Peer-review started: September 15, 2021 First decision: November 17, 2021 Revised: November 29, 2021 Accepted: April 2, 2022 Article in press: April 2, 2022 Published online: June 6, 2022
Core Tip
Core Tip: We reported a case of urogenital sepsis and urinary obstruction. Imaging examination indicated the upper urinary tract occupying lesions, which could not exclude the possibility of malignant tumor. Further flexible ureteroscopy revealed the rare disease of renal papillary necrosis. The endoscopic examination found that necrotic renal papillae sloughed and were floating as "cottons" in the renal pelvis. They were soft, friable, whitish and irregularly-shaped without blood supply as "cottons". The migration of the necrotic renal papilla to the ureter lead to urinary tract obstruction and urogenic sepsis. So far, the endoscopic sign of renal papillary necrosis has not been reported. The report revealed the imaging and endoscopic characteristics of renal papillary necrosis, which helped the clinicians to distinguish renal papillary necrosis from malignant tumor.
