Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis
Spontaneous nephrocutaneous fistula is a rare manifestation of renal diseases. The majority of such fistulas are associated with xanthogranulomatous pyelonephritis, chronic renal tuberculosis, complicated renal stones, and post-traumatic or surgical injuries. We report the case of a 58-year-old male...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2017-08-01
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| Series: | Case Reports in Clinical Practice |
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| Online Access: | https://crcp.tums.ac.ir/index.php/crcp/article/view/108 |
| _version_ | 1828766837610905600 |
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| author | Seyed Reza Yahyazadeh |
| author_facet | Seyed Reza Yahyazadeh |
| author_sort | Seyed Reza Yahyazadeh |
| collection | DOAJ |
| description | Spontaneous nephrocutaneous fistula is a rare manifestation of renal diseases. The majority of such fistulas are associated with xanthogranulomatous pyelonephritis, chronic renal tuberculosis, complicated renal stones, and post-traumatic or surgical injuries. We report the case of a 58-year-old male who presented with a history of massive lumbar cutaneous purulent discharge for 3 years. More investigations with ultrasonographic study and magnetic resonance imaging demonstrated the presence of a fistula between the kidney and skin. Detailed laboratory workup was negative for the diagnosis of renal tuberculosis. This patient was considered as a rare variant of xanthogranulomatous pyelonephritis and was managed effectively with a simple nephrectomy. |
| first_indexed | 2024-12-11T07:14:33Z |
| format | Article |
| id | doaj.art-28cf4bdaa0484d9d9fd86ad986087faf |
| institution | Directory Open Access Journal |
| issn | 2538-2683 2538-2691 |
| language | English |
| last_indexed | 2024-12-11T07:14:33Z |
| publishDate | 2017-08-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Case Reports in Clinical Practice |
| spelling | doaj.art-28cf4bdaa0484d9d9fd86ad986087faf2022-12-22T01:16:16ZengTehran University of Medical SciencesCase Reports in Clinical Practice2538-26832538-26912017-08-0121Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous PyelonephritisSeyed Reza Yahyazadeh0Department of Urology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Spontaneous nephrocutaneous fistula is a rare manifestation of renal diseases. The majority of such fistulas are associated with xanthogranulomatous pyelonephritis, chronic renal tuberculosis, complicated renal stones, and post-traumatic or surgical injuries. We report the case of a 58-year-old male who presented with a history of massive lumbar cutaneous purulent discharge for 3 years. More investigations with ultrasonographic study and magnetic resonance imaging demonstrated the presence of a fistula between the kidney and skin. Detailed laboratory workup was negative for the diagnosis of renal tuberculosis. This patient was considered as a rare variant of xanthogranulomatous pyelonephritis and was managed effectively with a simple nephrectomy.https://crcp.tums.ac.ir/index.php/crcp/article/view/108Xanthogranulomatous pyelonephritisUrinary fistulaKidney stones |
| spellingShingle | Seyed Reza Yahyazadeh Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis Case Reports in Clinical Practice Xanthogranulomatous pyelonephritis Urinary fistula Kidney stones |
| title | Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis |
| title_full | Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis |
| title_fullStr | Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis |
| title_full_unstemmed | Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis |
| title_short | Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis |
| title_sort | nephrocutaneous fistula an unusual presentation of xanthogranulomatous pyelonephritis |
| topic | Xanthogranulomatous pyelonephritis Urinary fistula Kidney stones |
| url | https://crcp.tums.ac.ir/index.php/crcp/article/view/108 |
| work_keys_str_mv | AT seyedrezayahyazadeh nephrocutaneousfistulaanunusualpresentationofxanthogranulomatouspyelonephritis |