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Table 1 Summary of XGP cases presenting as Wunderlich syndrome

From: Nephron-sparing management of Xanthogranulomatous pyelonephritis presenting as spontaneous renal hemorrhage: a case report and literature review

Case

Presentation

CBC

UA

Culture (urine or site)

Surgery

Pathology

Canle et al. [15], 2007

Right lower abdominal pain and asthenia

Hgb 8 9/dl

WBC 12000/mm3

+leukocyte

+Pyuria

Streptococcus anginosus

Right total nephrectomy

Foamy macrophages aggregates, neutrophils, fibrosis. Inflammatory cell infiltrate

Altinoluk et al. [17], 2012

Right flank pain, fever, nausea

Hgb 6.3 g/dl

WBC 16.7/ uL

Hematuria only

Proteus mirabilis

Right total nephrectomy

Foamy, lipid laden macrophages, giant cells, granulomatous reaction and fibrosis

Sharma et al. [16], 2013

Left flank pain, intermittent fever, weakness x15days

Hgb 9 g/dl

WBC 13500/mm3

Klebsiella

Left total nephrectomy

Chronic granulomatous pyelonephritis. With dilated vascular channels