Nephrobronchial fistula complicating neglected nephrolithiasis and xanthogranulomatous pyelonephritis.

Publisher: Medknow Country of Publication: Saudi Arabia NLM ID: 9436968 Publication Model: Print Cited Medium: Print ISSN: 1319-2442 (Print) Linking ISSN: 13192442 NLM ISO Abbreviation: Saudi J Kidney Dis Transpl Subsets: MEDLINE

Publication: 2007- : Mumbai : Medknow
Original Publication: Riyadh : Saudi Center for Organ Transplantation, c1994-

Bronchial Fistula/*complications ; Kidney Diseases/*complications ; Nephrolithiasis/*complications ; Pyelonephritis, Xanthogranulomatous/*complications ; Urinary Fistula/*complications; Adolescent ; Bronchial Fistula/diagnostic imaging ; Bronchial Fistula/surgery ; Female ; Humans ; Kidney Diseases/diagnostic imaging ; Kidney Diseases/surgery ; Nephrolithiasis/diagnostic imaging ; Nephrolithiasis/surgery ; Pyelonephritis, Xanthogranulomatous/surgery ; Radiography ; Urinary Fistula/diagnostic imaging ; Urinary Fistula/surgery

Nephrobronchial fistula is a rare complication seen in association with renal infections, trauma or stone disease. Xanthogranulomatous pyelonephritis (XGP) is an infectious disease with a potential for fistulization to lung, skin, colon and other organs. We present a case of nephrolithiasis complicated by obstruction leading to pyonephrosis and nephrobronchial fistula, treated successfully by nephrectomy and excision of fistulous tracts. Nephrobronchial fistula, although a rare complication of longstanding renal stone, should be considered when a patient presents with perirenal suppurative process. This clinical case illustrates the natural history of nephro-bronchial fistula and the relevance of early treatment of nephrolithiasis.

Date Created: 20110514 Date Completed: 20110805 Latest Revision: 20161125

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