[Renal stone ileus in xanthogranulomatous pyelonephritis. A case report].
A peculiar case of intestinal occlusion caused by a renal stone in a patient with nephroduodenal fistula due to previous xanthogranulomatous pyelonephritis is reported. Only few cases of nephroduodenal fistula are described in the literature, generally as a single case report or in small series. A nephroduodenal fistula as a result of chronic renal inflammatory disease such as xanthogranulomatous pyelonephritis, is usually associated with renal stones, recurrent urinary tract infections or endocrine disorders. Finally, renal stone as a cause of ileus is an event rarely described in the literature. In the case described, a correct preoperative diagnosis was possible with computerized tomography. During the operation a big renal stone was found and removed from the small bowel, but a limited resection was necessary because of the vascular impairment of the tract. At 8-month follow-up from operation, the patient was in good health, and no symptoms of renal or intestinal diseases were found.
Schieroni
R
R
UOA Chirurgia Generale, Ospedale di Ciriè, Turin, Italy.
Dogliani
M
M
Acanfora
F
F
Gandini
G
G
Poy
F
F
Borello
G
G
Sancipriano
G
G
D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D004630:Emergencies; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007412:Intestinal Fistula / Q000150:complications; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007669:Kidney Calculi / Q000150:complications*; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000150:complications