黄色肉芽肿性肾盂肾炎为一种罕见的特殊类型肾盂肾炎。现报告一例如下。患者男性,28岁,因右腰部隐痛五个月,剧烈绞痛入院。B超示右输尿管结石,双肾结石。X线平片示右输尿管结石。行右肾及部分输尿管切除术,术中扪及肾盂有坚实感,肾与周围组织紧密粘连,表面高低不平。切开肾盂内有大量脓液溢出,但未见结石。脓液细菌培养为绿脓杆菌。病理检查肾体积增大,10×7×4厘米,表面呈结节状,包膜不易剥离。切面见肾盂粘膜粗糙,皮、髓质分界不清,肾髓质呈黄色斑块状。镜检:病变区肾结构破坏,由大量泡沫细 Yellow granulomatous pyelonephritis is a rare type of pyelonephritis. Here is an example of the report. Male patient, 28 years old, due to pain in the right lower loin five months, severe colic admitted. B ultrasound show right ureteral stones, kidney stones. X-ray showed right ureteral calculi. OK right renal and partial ureter resection, intraoperative palpable pelvis has a solid sense of adhesion of the kidney and the surrounding tissue closely, the surface rugged. There was a large amount of pus overflowing the renal pelvis but no stone was seen. Pus bacterial culture Pseudomonas aeruginosa. Pathological examination increased renal volume, 10 × 7 × 4 cm, nodular surface, the envelope is not easy to peel. See the rough section of the renal pelvis mucosa, skin, medulla demarcation is unclear, medulla showed yellow plaque. Microscopic examination: lesion renal structure damage, thin foam by a large number