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  • Title: Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases.
    Author: Dawoud S, Solomon RJ, Eyerly-Webb SA, Abrahams NA, Pedraza F, Arenas JD, Hranjec T.
    Journal: Perm J; 2018; 22():17-150. PubMed ID: 30005725.
    Abstract:
    Xanthogranulomatous inflammation, characterized by destruction and replacement of tissues with chronic inflammatory cells, including foamy histiocytes and hemosiderin-laden macrophages, is uncommon. In patients with xanthogranulomatous pyelonephritis, inflammation may extend from the kidney to the overlying duodenum, creating a pyeloduodenal fistula that further complicates medical and surgical management. We present two cases with recurrent kidney infections who each ultimately received a nephrectomy and repair of their duodenal fistula.
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