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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2011  |  Volume : 22  |  Issue : 3  |  Page : 549-551
Nephrobronchial fistula complicating neglected nephrolithiasis and xanthogranulomatous pyelonephritis


Department of Surgery, University College of Medical Sciences (UCMS) and G.T.B. Hospital, Delhi, India

Correspondence Address:
Indu B Dubey
A-43, Street No. 2, Patel Vihar (Near Mukhiya Market), Karawal Nagar, Delhi 110094
India
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PMID: 21566318

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Nephrobronchial fistula is a rare complication seen in association with renal infections, trauma or stone disease. Xanthogranulomatous pyelonephritis (XGP) is an infectious disease with a potential for fistulization to lung, skin, colon and other organs. We present a case of nephrolithiasis complicated by obstruction leading to pyonephrosis and nephrobronchial fistula, treated successfully by nephrectomy and excision of fistulous tracts. Nephrobronchial fistula, although a rare complication of longstanding renal stone, should be considered when a patient presents with perirenal suppurative process. This clinical case illustrates the natural history of nephro-bronchial fistula and the relevance of early treatment of nephrolithiasis.


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