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Tan WP, Papagiannopoulos D, Elterman L. Bear's Paw Sign: A Classic Presentation of Xanthogranulomatous Pyelonephritis. Urology. 2015; 86(2): e5-e6.

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Article

Xanthogranulomatous Pyelonephritis – Challenges in Management

1Department of Surgery, Hospital Raja Permaisuri Bainun, Ipoh, Perak

2Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan


Global Journal of Surgery. 2019, Vol. 7 No. 1, 26-30
DOI: 10.12691/js-7-1-5
Copyright © 2019 Science and Education Publishing

Cite this paper:
Arvind Navaneethkumar, WM Mokhzani. Xanthogranulomatous Pyelonephritis – Challenges in Management. Global Journal of Surgery. 2019; 7(1):26-30. doi: 10.12691/js-7-1-5.

Correspondence to: WM  Mokhzani, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan. Email: Wmokhzani@gmail.com

Abstract

We present a case of a 50-year-old lady left gluteal collection with communication into the left retroperitoneal plane and continuous with left xanthogranulomatous pyelonephritis. She underwent wound debridement and left nephrectomy. It was subsequently complicated with delayed colonic perforation, recurrent episodes of colocutaneous and nephro-colic fistula. We discuss the complications associated with xanthogranulomatous pyelonephritis and the challenges in managing it.

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