Ischemic colitis secondary to xanthogranulomatous pyelonephritis.
Xanthogranulomatous pyelonephritis (XGPN) is an unusual suppurative granulomatous reaction to chronic infection. It often occurs in the presence of chronic obstruction from a calculus, stricture or tumor. XGPN clinically presents with abdominal mass, pain, weight loss, anemia and pyuria. Here, we report a case of a 50-year-old woman who had extensive XGPN complicated by a rarely seen unusual devascularization of the transverse and descending colon resulting in ischemic colitis owing to compression by a large mass. The abdominal mass was the largest to be reported to date worldwide. The etiologies, symptoms and signs, complications, diagnosis and treatment are also reviewed in this article.
Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 10449, Taiwan. yjsu@ms1.mmh.org.tw
Yu-Jang
YJ
Su
Yen-Chun
YC
Lai
Chin-Yao
CY
Chou
Wen-Han
WH
Chang
D017091:Colitis, Ischemic / Q000209:etiology*; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications*; D008875:Middle Aged; D009392:Nephrectomy; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications* / Q000601:surgery