International Urology and Nephrology (2018) 50:1071–1073 https://doi.org/10.1007/s11255-018-1886-x UROLOGY - LE T TER TO THE EDITOR Pyeloduodenal fistula complicating xanthogranulomatous pyelonephritis 1 2,3,4 3 Maude Laberge · Girish S. Kulkarni · Boraiah Sreeharsha Received: 15 March 2018 / Accepted: 4 May 2018 / Published online: 21 May 2018 © Springer Science+Business Media B.V., part of Springer Nature 2018 Introduction the abdomen and pelvis was conducted and revealed a 3-cm abscess, moderate hydronephrosis, evidence of gas within Xanthogranulomatous pyelonephritis (XGP) is a rare the kidney, and a 1.6-cm renal calculus. She was diagnosed and severe form of pyelonephritis, generally treated with with focal XGP (see Fig. 1). The contralateral kidney was nephrectomy. We report a case of XGP complicated by a normal. pyeloduodenal fistula in which conservative medical treat- She was admitted to hospital for percutaneous abscess ment was successful. drainage and a nephrostomy tube. During the procedure, contrast was found to pass through the collecting system into the bowel, demonstrating evidence of a fistula to the Case report duodenum. The fistula was confirmed (Fig. 2) and localized between the right renal collecting system and the second part A 28-year-old, otherwise healthy female experienced a of the duodenum on contrast CT. Bacterial cultures were 5-month history of right
International Urology and Nephrology – Springer Journals
Published: May 21, 2018
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