A case of xanthogranulomatous pyelonephritis leading to nephrobronchial fistula and lung abscess: does it always manifest with respiratory symptoms?
Xanthogranulomatous pyelonephritis
lung abscess
nephrectomy
nephrobronchial fistula
Journal
American journal of clinical and experimental urology
ISSN: 2330-1910
Titre abrégé: Am J Clin Exp Urol
Pays: United States
ID NLM: 101634566
Informations de publication
Date de publication:
2022
2022
Historique:
received:
06
08
2022
accepted:
12
10
2022
entrez:
31
10
2022
pubmed:
1
11
2022
medline:
1
11
2022
Statut:
epublish
Résumé
Xanthogranulomatous pyelonephritis (XGP) is a serious manifestation of chronic kidney inflammation that can expand to adjacent structures. Here we report a case of XGP extending beyond the diaphragm through a nephrobronchial fistula to form a lung abscess in a 70-year-old man. The patient presented to the emergency department with severe right flank colic pain, nausea, vomiting and nonspecific constitutional symptoms for the past 4 months. Although the patient did not complain of any respiratory symptoms, initial evaluations revealed severe right-sided hydroureteronephrosis with debris, as well as an area of infiltration in the right lung lower lobe (RLL). Given the patient's condition, a thorough work-up was expedited to investigate the potential association between the symptoms. Ultimately, a diagnosis of XGP with expansion to the RLL through the right hemidiaphragm was developed. A right radical nephrectomy, right lower lobectomy and right hemidiaphragm resection were carried out. XGP was confirmed on the basis of the pathological evaluation of the resected specimens.
Types de publication
Case Reports
Langues
eng
Pagination
358-365Informations de copyright
AJCEU Copyright © 2022.
Déclaration de conflit d'intérêts
None.
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