Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases

Sara Dawoud, Rachele J. Solomon, Stephanie A. Eyerly-Webb, Neil A. Abrahams, Fernando Pedraza, Juan D. Arenas, Tjasa Hranjec

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Xanthogranulomatous inflammation, characterized by destruction and replacement of tissues with chronic inflammatory cells, including foamy histiocytes and hemosiderin-laden macrophages, is uncommon. In patients with xanthogranulomatous pyelonephritis, inflammation may extend from the kidney to the overlying duodenum, creating a pyeloduodenal fistula that further complicates medical and surgical management. We present two cases with recurrent kidney infections who each ultimately received a nephrectomy and repair of their duodenal fistula.

Original languageEnglish (US)
JournalThe Permanente journal
StatePublished - Jun 20 2018

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Medicine (miscellaneous)


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