Nephrocutaneous Fistula due to Xanthogranulomatous Pyelonephritis

Weissman, Simcha; Ghaffar, Madeeha; Safavian, Dana; Sharma, Ruchika; Khabut, Anthony; Maruf, Mohammad G; Krzyzak, Michael

doi:10.7759/cureus.3467

Cited by 7 publications

(10 citation statements)

References 5 publications

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“…NNS surgery, like nephrectomy and nephroureterectomy, are the most common procedures, because in 90% of NCF patients, the kidneys are non or poorly functioning ( 1 ). NNS surgery includes partial nephrectomy, heminephrectomy, and simple fistulous tract resection for functioning kidneys ( 2 , 4 – 6 , 13 , 14 ). In addition, endourological maneuvers such as positioning a double-J stent, percutaneous fulguration of the fistulous tract and nephrostomy have also been reported in 2 cases ( 15 , 16 ).…”

Section: Discussionmentioning

confidence: 99%

Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

Guan

Zhang

et al. 2021

Front. Surg.

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Nephrocutaneous fistula (NCF) is a rare and severe complication of renal disease and surgical procedures. Treatments for NCF are based on the renal function, and can include nephrectomy, heminephrectomy, nephroureterectomy, endourological maneuvers or antibiotic therapy alone. Here we report a case of a chronic NCF which occurred 5 years after partial nephrectomy. In this report, we describe a new surgical approach for the management of a patient with postoperative NCF. In the present case, in addition to removing the fistulous tract, we also performed an omental flap grafting to tightly cover the kidney. In addition to limiting and controlling the local inflammation, the omental flap prevents contact between the kidney and the flank muscle on its posterior rim. No recurrence or complications occurred throughout 10 months of follow-up. The NCF was successfully treated with completely removal of the sinus tract and omental flap grafting, without nephrectomy. This case adds new aspects to the treatment of NCF.

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Section: Discussionmentioning

confidence: 99%

Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

Guan

Zhang

et al. 2021

Front. Surg.

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“…post tuberculosis of the urinary tract, xanthogranulomatous pyelonephritis and nephrolithiasis, although the reported cases are very rare. [1][2][3][4][5] Also, another cause of fistula formation is post trauma in which there is formation of urinoma which finds its way out through the path of least resistance i.e. through the posterior triangles of Grynfeldt and Petit.…”

Section: Discussionmentioning

confidence: 99%

“…The cases in the literature report occurrence of fistulae secondary to infections, tuberculosis and commonly secondary to surgery. [1][2][3][4][5] Most of the time, the required treatment is complete nephrectomy with excision of the nephrocutaneous fistula.…”

Section: Introductionmentioning

confidence: 99%

A rare case of spontaneous nephrocutaneous fistula

Bansod¹,

Mirajkar²,

Umalkar³

et al. 2020

Int Surg J

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Acute and chronic pyelonephritis are known afflictions to the kidney in diabetics and in patients of abnormal urinary anatomy. And its presentation as a spontaneous sinus opening on the anterior abdominal wall is a rare phenomenon. We present one such rare case of a 71-year-old male with pus discharge from the anterior abdominal wall for 7 months. On investigating, it was found to be a nephrocutaneous fistula arising from the left non-functional kidney. This was dealt with left nephrectomy along with excision of the sinus tract. Though a very rare condition, a possibility of nephrocutaneous fistula must be kept when dealing with discharging sinus in lumbar region.

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“…Fistulas connecting the kidney to the colon, jejunum, duodenum, bronchus, diaphragm, thorax, psoas muscle, and skin were reported. 4-12…”

Section: Introductionmentioning

confidence: 99%

“…Fistulas connecting the kidney to the colon, jejunum, duodenum, bronchus, diaphragm, thorax, psoas muscle, and skin were reported. [4][5][6][7][8][9][10][11][12] There are no reported cases of concurrent reno-gastric and reno-colic fistulas. Herein, we describe a unique case of reno-gastric and reno-colic fistulas in a patient with history of left renal calculus presenting with simultaneous upper and lower gastrointestinal bleed.…”

Section: Introductionmentioning

confidence: 99%

Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed

Mirza

Taunay

Waleed

et al. 2019

Journal of Investigative Medicine High Impact Case Reports

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Xanthogranulomatous pyelonephritis (XGP) is a rare chronic granulomatous destructive process of the renal parenchyma. It is caused by a chronic inflammatory process due to recurrent urinary tract infections and/or obstructing renal calculi. Rarely, it presents with advanced complications including abscesses and fistula formations. In this article, we report a unique presentation of XGP with simultaneous upper and lower gastrointestinal bleeding in the setting of XGP with reno-gastric and reno-colic fistulas.

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Nephrocutaneous Fistula due to Xanthogranulomatous Pyelonephritis

Cited by 7 publications

References 5 publications

Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

A rare case of spontaneous nephrocutaneous fistula

Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed

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