Incidental renocolic fistula with xanthogranulomatous pyelonephritis

AbstractINTRODUCTIONWe report the case of a 66-year-old female undergoing elective nephrectomy for a non-functioning kidney in whom an incidental renocolic fistula was detected.PRESENTATION OF CASEShe presented with recurrent urinary tract infections and left flank pain. Investigations revealed a nonfunctioning left kidney with a large staghorn calculus and features suggestive of xanthogranulomatous pyelonephritis (XPG). At nephrectomy, an incidental renocolic fistula was found and excised.DISCUSSIONXGP is a rare, chronic inflammatory disorder of the kidney characterized by a destructive mass invading the renal parenchyma. Renocolic fistulae complicating XGP are uncommon and not widely reported in the literature.CONCLUSIONHerein, we describe a case of XGP with renocolic fistula formation, its management and a review of the literature

An unusual pelvic mass: bladder lymphoma

A 58-year-old woman presented to the emergency department after a minor fall, complaining of lower abdominal pain. A large, tender mass arising from the pelvis was palpable, in association with abdominal wall bruising. The patient believed that she may have had a “lump” there for several years. She had had a total abdominal hysterectomy and bilateral salpingo-oopherectomy for benign fibroids three years previously. She denied any gastrointestinal (GI) or genitourinary symptoms. She had no night sweats or weight loss. Routine blood investigations were norma