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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2010; 02(06): 283-287
DOI: 10.4103/1947-489X.211009
Case Report

Spontaneous pyeloduodenal fistula complicating a xanthogranulomatous pyelonephritis

Sataa Sallami
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Sami Rhouma
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Sabeur Rebai
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Karim Cherif
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Mohamed Gargouri
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Yassine Nouira
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
,
Ali Horchani
Department of Urology, La Rabta Hospital, University of Tunis, Tunis, Tunisia
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A 57-year-old female presented with recurrent episodes of right flank pain and fever. No pathogens were detected in urine cultures. Intravenous pyelography and computerized tomography revealed a poor-functioning right kidney with an upper pole cystic tumor. Barium meal showed a communication between the renal pelvis and the duodenum. A right nephrectomy was performed with repair of the fistula. Histological examination revealed chronic pyelonephritis with xanthogranulomatous reaction and cystic renal tumor. The patient remains well at seven year follow-up.

Key-words:

Duodenum - renal pelvis - fistula - nephrectomy - xanthogranulomatous pyelonephritis.


Publication History

Received: 13 October 2009

Accepted: 16 September 2010

Article published online:
23 May 2022

© 2010. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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