Related Experiment Videos
[Splenic abscess secondary to xanthogranulomatous pyelonephritis]
L E Parra Muntaner1, S Gómez Cisneros, S Kilani Elmasri
1Servicio Urología, Hospital Camino de Santiago, Ponferrada, León, España.
Objective:
We report another case of splenic abscess after nephrectomy, a condition which must be considered in the differential diagnosis of post-operative fever.
Methods/Results:
A 20-year-old man presented with lumbar pain and fever. A diagnosis of xanthogranulomatous pyelonephritis was made and he was treated by subcapsular nephrectomy. Thirty days later the patient presented with a lumbar fistula from a splenic abscess and was treated by splenectomy.
Conclusions:
Fistulas and abscesses are more common after nephrectomy for xanthogranulomatous pyelonephritis. In our view, the subcapsular approach is an additional risk factor for the foregoing complications.