Xanthogranulomatous Pyelonephritis – Challenges in Management

Arvind Navaneethkumar¹ and WM Mokhzani^2,

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

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

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

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.

Keywords:
Xanthogranulomatous pyelonephritis Nephro-colic Fistula Nephrectomy inflammation psoas abscess

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