Case Reports in Clinical Practice 2017. 2(1):21-23.

Nephrocutaneous Fistula: An Unusual Presentation of Xanthogranulomatous Pyelonephritis
Seyed Reza Yahyazadeh

Abstract


Spontaneous nephrocutaneous fistula is a rare manifestation of renal diseases. The majority of such fistulas are associated with xanthogranulomatous pyelonephritis, chronic renal tuberculosis, complicated renal stones, and post-traumatic or surgical injuries. We report the case of a 58-year-old male who presented with a history of massive lumbar cutaneous purulent discharge for 3 years. More investigations with ultrasonographic study and magnetic resonance imaging demonstrated the presence of a fistula between the kidney and skin. Detailed laboratory workup was negative for the diagnosis of renal tuberculosis. This patient was considered as a rare variant of xanthogranulomatous pyelonephritis and was managed effectively with a simple nephrectomy.


Keywords


Xanthogranulomatous pyelonephritis; Urinary fistula; Kidney stones

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References


Tanwar R, Rathore KV, Rohilla MK. Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management. Urol Ann 2015; 7(1): 94-6.

Bryniak SR. Primary spontaneous renocutaneous fistula. Urology 1983; 21(5): 516-7.

Sarmiento RC, Blasco CF, Herrera FF, Chica RA, Ostale GJ. Spontaneous nephrocutaneous fistula. Report of a case and review of the literature. Arch Esp Urol 1990; 43(4): 411-3.

Singer AJ. Spontaneous nephrocutaneous fistula. Urology 2002; 60(6): 1109-10.

Sherman SC, Limkakeng A. Xanthogranulomatous pyelonephritis with a nephrocutaneous fistula. J Emerg Med 2005; 29(3): 337-8.

Qureshi MA. Spontaneous nephrocutaneous fistula in tuberculous pyelonephritis. J Coll Physicians Surg Pak 2007; 17(6): 367-8.

Maheshwari PN, Shah HN. Nephrocutaneous fistula through percutaneous nephrolithotomy scar: rare presentation of genitourinary tuberculosis. Urology 2005; 66(3): 655-6.

Antunes AA, Calado AA, Falcao E. Spontaneous nephrocutaneous fistula. Int Braz J Urol 2004; 30(4): 316-8.

Ansari MS, Singh I, Dogra PN. Spontaneous nephrocutaneous fistula-2 unusual case reports with review of literature. Int Urol Nephrol 2004; 36(2): 239-43.

Devevey JM, Randrianantenaina A, Soubeyrand MS, Justrabo E, Michel F. Xanthrogranulomatous pyelonephritis with

nephrocutaneous fistula. Prog Urol 2003; 13(2): 285-9.

Khallouk A, Tazi MF, Elfassi MJ, Farih MH. Chronic spontaneous nephrocutaneous fistula associated with renal replacement lipomatosis. Rev Urol 2010; 12(4): e190-e192.


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