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

doi:10.7812/TPP/17-150

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

Department of Surgery

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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 language	English (US)
Journal	The Permanente journal
Volume	22
DOIs	https://doi.org/10.7812/TPP/17-150
State	Published - 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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title = "Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases",

abstract = "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.",

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AU - Dawoud, Sara

AU - Solomon, Rachele J.

AU - Eyerly-Webb, Stephanie A.

AU - Abrahams, Neil A.

AU - Pedraza, Fernando

AU - Arenas, Juan D.

AU - Hranjec, Tjasa

PY - 2018/6/20

Y1 - 2018/6/20

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AB - 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.

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Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases

Abstract

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