Journal of Investigative Medicine High Impact Case Reports (Apr 2019)

Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed

  • Muhammad Usman Mirza MBBS,
  • John Van Taunay MD,
  • Muhammad Waleed MBBS,
  • Shiva Shankar Vangimalla MBBS,
  • Sharana Hegde MBBS,
  • Muhamad Alhaj Moustafa MD

DOI
https://doi.org/10.1177/2324709619842899
Journal volume & issue
Vol. 7

Abstract

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Xanthogranulomatous pyelonephritis (XGP) is a rare chronic granulomatous destructive process of the renal parenchyma. It is caused by a chronic inflammatory process due to recurrent urinary tract infections and/or obstructing renal calculi. Rarely, it presents with advanced complications including abscesses and fistula formations. In this article, we report a unique presentation of XGP with simultaneous upper and lower gastrointestinal bleeding in the setting of XGP with reno-gastric and reno-colic fistulas.