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Incidental renocolic fistula with xanthogranulomatous pyelonephritis
R L McDermott1, C M Dowling, M Alsinnawi
1Tallaght Hospital, Tallaght Dublin 24, Ireland.
Introduction:
We report the case of a 66-year-old female undergoing elective nephrectomy for a non-functioning kidney in whom an incidental renocolic fistula was detected.
Presentation Of Case:
She presented with recurrent urinary tract infections and left flank pain. Investigations revealed a nonfunctioning left kidney with a large staghorn calculus and features suggestive of xanthogranulomatous pyelonephritis (XPG). At nephrectomy, an incidental renocolic fistula was found and excised.
Discussion:
XGP is a rare, chronic inflammatory disorder of the kidney characterized by a destructive mass invading the renal parenchyma. Renocolic fistulae complicating XGP are uncommon and not widely reported in the literature.
Conclusion:
Herein, we describe a case of XGP with renocolic fistula formation, its management and a review of the literature.
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