Incidental renocolic fistula with xanthogranulomatous pyelonephritis

Abstract INTRODUCTION We report the case of a 66-year-old female undergoing elective nephrectomy for a non-functioning kidney in whom an incidental renocolic fistula was detected. PRESENTATION OF CASE She presented with recurrent urinary tract infections and left flank pain. Investigations revealed...

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Bibliographic Details
Published in:International journal of surgery case reports 2013-01, Vol.4 (2), p.222-224
Main Authors: McDermott, R.L, Dowling, C.M, Alsinnawi, M, Grainger, R
Format: Article
Language:English
Subjects:
Fistula
Incidental
Pyelonephritis
Renocolic
Surgery
Xanthogranulomatous
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Summary:Abstract INTRODUCTION We report the case of a 66-year-old female undergoing elective nephrectomy for a non-functioning kidney in whom an incidental renocolic fistula was detected. PRESENTATION OF CASE She presented with recurrent urinary tract infections and left flank pain. Investigations revealed a nonfunctioning left kidney with a large staghorn calculus and features suggestive of xanthogranulomatous pyelonephritis (XPG). At nephrectomy, an incidental renocolic fistula was found and excised. DISCUSSION XGP is a rare, chronic inflammatory disorder of the kidney characterized by a destructive mass invading the renal parenchyma. Renocolic fistulae complicating XGP are uncommon and not widely reported in the literature. CONCLUSION Herein, we describe a case of XGP with renocolic fistula formation, its management and a review of the literature.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2012.08.003