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Case Reports
. 2019 Jan-Dec:7:2324709619842899.
doi: 10.1177/2324709619842899.

Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed

Muhammad Usman Mirza  1 , John Van Taunay  1 , Muhammad Waleed  2 , Shiva Shankar Vangimalla  1 , Sharana Hegde  1 , Muhamad Alhaj Moustafa  3
Affiliations
Case Reports

Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed

Muhammad Usman Mirza et al. J Investig Med High Impact Case Rep. 2019 Jan-Dec.

Abstract

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.

Keywords: gastrointestinal bleed; nephrectomy; reno-colic fistula; reno-gastric fistula; xanthogranulomatous pyelonephritis.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Upper endoscopy with blood clot in the stomach.
Figure 2.
Figure 2.
Computed tomography scan of abdomen and pelvis with intravenous contrast showing left renal calculus and reno-gastric fistula.
Figure 3.
Figure 3.
Barium enema showing contrast extravasation from the splenic flexure.
See this image and copyright information in PMC

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