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[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.
Archivos Espanoles De Urologia
|October 1, 1995
Summary
Splenic abscesses and fistulas are potential complications following nephrectomy for xanthogranulomatous pyelonephritis. The subcapsular surgical approach may increase the risk of these post-operative issues.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Nephrectomy is a surgical procedure to remove a kidney.
- Xanthogranulomatous pyelonephritis is a chronic infectious process of the kidney.
Observation:
- A 20-year-old male presented with lumbar pain and fever.
- He underwent subcapsular nephrectomy for a diagnosis of xanthogranulomatous pyelonephritis.
Findings:
- Thirty days post-surgery, the patient developed a lumbar fistula originating from a splenic abscess.
- Splenectomy was required for treatment.
Implications:
- Splenic abscesses and fistulas are recognized complications after nephrectomy, particularly for xanthogranulomatous pyelonephritis.
- The subcapsular surgical approach is identified as a potential risk factor contributing to these complications.