RENOCOLIC FISTULA CAUSED BY XANTHOGRANULOMATOUS PYELONEPHRITIS

A case of Xanthogranulomatous pyelonephritis with spontaneous renocolic fistula.

Xanthogranulomatous pyelonephritis (XGPN) is a rare clinicopathological syndrome that is unique among the various inflammatory conditions of the kidney, and it closely mimics renal cell carcinoma, both clinically and radiologically. Approximately one third of XGPN cases have associated complications, such as abscess and fistulas, although the latter is much less common. Spontaneous renocolic fi...

Staghorn Renal Calculus with Xanthogranulomatous Pyelonephritis and Renocolic Fistula

Risheng Xu, DO Former Triton Hospitalists at the Houston Methodist Willowbrook Hospital, University of Texas HSC at Houston Lyndon B. Johnson Hospital Academic Hospitalist Khawaja Azimuddin, MD FACS FASCRS Northwest ColonRectal Surgery Physician Association, Houston, TX Reno-colic fistula is rare, and even fewer cases were reported in association with staghorn stones and xanthogranulomatous pye...

Renal pseudotumours caused by xanthogranulomatous pyelonephritis.

Xanthogranulomatous Pyelonephritis with Spontaneous Nephrocutaneous Fistula

Xanthogranulomatous pyelonephritis is a severe, rare, form of chronic pyelonephritis characterized by the destruction of the renal parenchyma and replacement by granulomatous tissue.This disease has been called as the “great imitator” because clinical and radiological findings often mimics other inflammatory or neoplastic renal disorders leading to diagnostic challenge before histopathologic an...

Spontaneous Pyeloduodenal Fistula Complicating a Xanthogranulomatous Pyelonephritis

A 57-year-old female presented with recurrent episodes of right flank pain and fever. No pathogens were detected in urine cultures. Intravenous pyelography and computerized tomography revealed a poor-functioning right kidney with an upper pole cystic tumor. Barium meal showed a communication between the renal pelvis and the duodenum. A right nephrectomy was performed with repair of the fistula....