Spontaneous Nephrocutaneous Fistula: Rare Complication of Xanthogranulomatous Pyelonephritis

Al-Azab, Rami; Ghawanmeh, Hamzeh M.; Abushamma, Faris; Ababneh, Osama H.; Al-Karasneh, Anas I.

doi:10.1016/j.eucr.2016.10.019

Cited by 12 publications

(14 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Abscess formation (paranephric and psoas), fistula formation (renocutaneous and renocolonic), and sepsis are known complications. [19202122] In the present study, pyonephrosis and perinephric abscess were seen in 10 (25.0%) cases and 3 (7.5%) patients, respectively, and one case had nephrocutaneous fistula. Few patients may develop hypertension or hepatomegaly.…”

Section: Discussionsupporting

confidence: 53%

Clinicopathological spectrum of xanthogranulomatous pyelonephritis

Kundu¹,

Baliyan²,

Dhingra³

et al. 2019

Indian J Nephrol

View full text Add to dashboard Cite

Xanthogranulomatous pyelonephritis (XGP) is an uncommon and distinct type of chronic infective pyelonephritis causing destruction of the kidney, severely affecting the renal function. The perinephric adipose tissue and peritoneum is not uncommonly involved. The study was undertaken to decipher the clinicopathologic spectrum of XGP. Forty cases of XGP were diagnosed on histopathology over a period of 13 years (2005–2017). Relevant clinical details and radiological findings were recorded from the case files. Out of a total of 40 cases, 26 were female and 14 were male with a mean age of 39.5 ± 13.6 years. Flank pain was the most common presenting symptom. All the patients had unilateral disease and underwent nephrectomy for a nonfunctional kidney. Gross examination showed enlarged kidney with replacement of cortico-medullary tissue by yellow nodular areas of fatty tissue and dilatation of the pelvicalyceal system. Thirty-six (90%) cases had nephrolithiasis. Histologically, the characteristic feature was the existence of lipid-laden foamy macrophages. Renal parenchymal involvement was diffuse in majority (31, 77.5%). Two (5.0%) of the patients had coexisting carcinoma in the same kidney. Histopathologic examination gives the definitive diagnosis of XGP which relies on the characteristic morphology. Surgical intervention in the form of nephrectomy is the treatment of choice and offers good treatment outcomes.

show abstract

Section: Discussionsupporting

confidence: 53%

Clinicopathological spectrum of xanthogranulomatous pyelonephritis

Kundu¹,

Baliyan²,

Dhingra³

et al. 2019

Indian J Nephrol

View full text Add to dashboard Cite

show abstract

“…Some authors have described the possibility of malignancy, but this has not been established in any of the studies. 6…”

Section: Discussionmentioning

confidence: 99%

A rare case of spontaneous nephrocutaneous fistula

Bansod¹,

Mirajkar²,

Umalkar³

et al. 2020

Int Surg J

View full text Add to dashboard Cite

Acute and chronic pyelonephritis are known afflictions to the kidney in diabetics and in patients of abnormal urinary anatomy. And its presentation as a spontaneous sinus opening on the anterior abdominal wall is a rare phenomenon. We present one such rare case of a 71-year-old male with pus discharge from the anterior abdominal wall for 7 months. On investigating, it was found to be a nephrocutaneous fistula arising from the left non-functional kidney. This was dealt with left nephrectomy along with excision of the sinus tract. Though a very rare condition, a possibility of nephrocutaneous fistula must be kept when dealing with discharging sinus in lumbar region.

show abstract

“…Our case is rare since the fistula developed a path toward the skin, which in our bed-bound patient was indeed very low in resistance. Additionally, a major underlying cause of the renal fistulae development is previous surgery to an adjacent body region, such as the hip, as well as a nephrectomy [1]. In our case, the tract was due to Xanthogranulomatous pyelonephritis (XGP) causing a longstanding lobulated abscess.…”

Section: Introductionmentioning

confidence: 88%

Nephrocutaneous Fistula due to Xanthogranulomatous Pyelonephritis

Weissman

Ghaffar

Safavian

et al. 2018

Cureus

View full text Add to dashboard Cite

While the development of a fistulous tract from the kidney to the proximal adjacent organs is relatively common, a tract leading to the skin is a rare occurrence. The primary cause of a fistula is prior surgical intervention or malignancy leading to abscess formation. Our case involves Xanthogranulomatous pyelonephritis (XGP) causing a longstanding lobulated abscess, ultimately leading to the formation of a fistulous tract.

show abstract

Spontaneous Nephrocutaneous Fistula: Rare Complication of Xanthogranulomatous Pyelonephritis

Cited by 12 publications

References 4 publications

Clinicopathological spectrum of xanthogranulomatous pyelonephritis

Clinicopathological spectrum of xanthogranulomatous pyelonephritis

A rare case of spontaneous nephrocutaneous fistula

Nephrocutaneous Fistula due to Xanthogranulomatous Pyelonephritis

Contact Info

Product

Resources

About