Nephrobronchial fistulas are a rare complication of xanthogranulomatous pyelonephritis. We report the diagnosis of such a case together with its investigation, management and a review of current literature.
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http://dx.doi.org/10.5173/ceju.2011.01.art12 | DOI Listing |
Front Med (Lausanne)
August 2024
One Health Research Group, Universidad de las Americas, Quito, Ecuador.
Introduction: Nephrobronchial fistula is an exceptionally rare complication of renal infections, including the uncommon xanthogranulomatous pyelonephritis. Existing literature is limited to a few case reports, with antibiotic therapy and nephrectomy being the preferred treatments.
Case: We present the case of a 63-year-old woman with a history of recurrent xanthogranulomatous pyelonephritis in her right kidney, requiring drainage through lumbotomy.
J Bras Pneumol
January 2024
. Divisão de Pneumologia, Instituto do Coração - InCor - Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
Proc (Bayl Univ Med Cent)
December 2022
Department of Surgery and Urology, National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
We report a case of nephrobronchial fistula complicated by the development of a broncholith within the lung, which led to hemoptysis and blood loss anemia. A 71-year-old man with a medical history of untreated urinary stones was admitted for flank pain, hemoptysis, blood loss anemia, and exacerbation of chronic pyelonephritis. Computed tomography showed staghorn calculi, terminal hydronephrosis, xanthogranulomatous pyelonephritis of the left kidney, nephrobronchial fistula, and large intraparenchymal pulmonary calcification.
View Article and Find Full Text PDFAm J Clin Exp Urol
October 2022
Department of Urology, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Xanthogranulomatous pyelonephritis (XGP) is a serious manifestation of chronic kidney inflammation that can expand to adjacent structures. Here we report a case of XGP extending beyond the diaphragm through a nephrobronchial fistula to form a lung abscess in a 70-year-old man. The patient presented to the emergency department with severe right flank colic pain, nausea, vomiting and nonspecific constitutional symptoms for the past 4 months.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2022
Department of Interventional Radiology, St. James's Hospital, Dublin, Ireland.
Introduction And Importance: Xanthogranulomatous pyelonephritis (XGP) is an uncommon complication of chronic urinary tract infection, classically secondary to a chronic obstructive uropathy, resulting in destruction of renal parenchyma and a non-functioning kidney (Jha and Aeddula, 2022 [1]). This is rarely associated with nephrobronchial fistulation, with few published case reports in the literature to date.
Case Presentation: We present the rare case of a 42-year-old female who was admitted to an Irish tertiary urology centre with abdominal pain, elevated inflammatory markers and an obstructive uropathy on initial imaging, with a new diagnosis of XGP.
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