Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed.
Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed.
- 2019
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.
English
2324-7096
10.1177/2324709619842899 [doi] PMC6498772 [pmc]
*Gastrointestinal Hemorrhage/dg [Diagnostic Imaging]
*Gastrointestinal Hemorrhage/su [Surgery]
*Pyelonephritis, Xanthogranulomatous/dg [Diagnostic Imaging]
*Pyelonephritis, Xanthogranulomatous/su [Surgery]
Diagnosis, Differential
Endoscopy, Gastrointestinal
Female
Humans
Intestinal Fistula/et [Etiology]
Laparotomy
Middle Aged
Nephrectomy
Splenectomy
Tomography, X-Ray Computed
Urinary Fistula/et [Etiology]
MedStar Washington Hospital Center
Medicine/Internal Medicine
Journal Article
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.
English
2324-7096
10.1177/2324709619842899 [doi] PMC6498772 [pmc]
*Gastrointestinal Hemorrhage/dg [Diagnostic Imaging]
*Gastrointestinal Hemorrhage/su [Surgery]
*Pyelonephritis, Xanthogranulomatous/dg [Diagnostic Imaging]
*Pyelonephritis, Xanthogranulomatous/su [Surgery]
Diagnosis, Differential
Endoscopy, Gastrointestinal
Female
Humans
Intestinal Fistula/et [Etiology]
Laparotomy
Middle Aged
Nephrectomy
Splenectomy
Tomography, X-Ray Computed
Urinary Fistula/et [Etiology]
MedStar Washington Hospital Center
Medicine/Internal Medicine
Journal Article