A 20-year-old woman presented to our outpatient clinic with a 5-week history of recurrent right lumbar back pain. Contrast-enhanced computed tomography scan showed a Bosniak class IV renal cyst. She was treated with radical nephrectomy. Histopathology revealed xanthogranulomatous pyelonephritis.
Keywords: Bosniak class IV renal cyst; Radical nephrectomy; Xanthogranulomatous pyelonephritis.