伴有黄色肉芽肿性肾盂肾炎的偶然发现的肾结肠瘘
Incidental renocolic fistula with xanthogranulomatous pyelonephritis.
作者信息
McDermott R L, Dowling C M, Alsinnawi M, Grainger R
机构信息
Tallaght Hospital, Tallaght Dublin 24, Ireland.
出版信息
Int J Surg Case Rep. 2013;4(2):222-4. doi: 10.1016/j.ijscr.2012.08.003. Epub 2012 Aug 14.
Abstract
INTRODUCTION
We report the case of a 66-year-old female undergoing elective nephrectomy for a non-functioning kidney in whom an incidental renocolic fistula was detected.
PRESENTATION OF CASE
She presented with recurrent urinary tract infections and left flank pain. Investigations revealed a nonfunctioning left kidney with a large staghorn calculus and features suggestive of xanthogranulomatous pyelonephritis (XPG). At nephrectomy, an incidental renocolic fistula was found and excised.
DISCUSSION
XGP is a rare, chronic inflammatory disorder of the kidney characterized by a destructive mass invading the renal parenchyma. Renocolic fistulae complicating XGP are uncommon and not widely reported in the literature.
CONCLUSION
Herein, we describe a case of XGP with renocolic fistula formation, its management and a review of the literature.
摘要
引言
我们报告了一例66岁女性，因无功能肾接受择期肾切除术，术中意外发现肾结肠瘘。
病例介绍
她因反复尿路感染和左侧腰痛就诊。检查发现左肾无功能，伴有巨大鹿角形结石，并有提示黄色肉芽肿性肾盂肾炎（XPG）的特征。肾切除术中，发现并切除了一个意外的肾结肠瘘。
讨论
XGP是一种罕见的肾脏慢性炎症性疾病，其特征为破坏性肿块侵犯肾实质。并发XGP的肾结肠瘘并不常见，文献报道也不多。
结论
在此，我们描述了一例伴有肾结肠瘘形成的XGP病例、其治疗方法并对文献进行了综述。
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