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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300388PMC
http://dx.doi.org/10.7759/cureus.3467DOI Listing

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