CT findings in xanthogranulomatous pyelonephritis with coexistent renocolic fistula.
A case of diffuse xanthogranulomatous pyelonephritis of the kidney with an associated renocolic fistula is reported. Computed tomography demonstrated typical findings with an enlarged poorly functioning kidney with multiple near-water-density masses replacing the renal parenchyma surrounding a central staghorn calculus. A mottled gas collection within the renal parenchyma was secondary to a renocolic fistula rather than a pyogenic abscess.
Sussman
S K
SK
Department of Radiology, Duke University Medical Center, Durham, NC.
Gallmann
W H
WH
Cohan
R H
RH
Saeed
M
M
Lawton
J S
JS
D000038:Abscess / Q000000981:diagnostic imaging; D003085:Colic / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011705:Pyelonephritis, Xanthogranulomatous / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000000981:diagnostic imaging*; D014567:Urography