Nephrocolocutaneous fistula from a staghorn calculus.

Autor:	Jacinto CK 3rd; Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines rocky_awp@yahoo.com., Lim MGL; Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines., Lopez MPJ; Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines., Serrano DP; Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jan 18; Vol. 16 (1). Date of Electronic Publication: 2023 Jan 18.
DOI:	10.1136/bcr-2022-249351
Abstrakt:	Fistula formation between the kidney, colon and the skin is an extremely rare complication arising from renal infections secondary to renal stone formation. During the 1980s, reports of nephrocolic fistulas, with or without involvement of the skin, were commonly caused by genitourinary tuberculosis. Due to improvements in diagnosis and specifically the development of anti-Koch's therapy, the incidence of nephrocolic or nephrocolocutaneous fistulas has become uncommon especially in developed countries.We report a case of a patient residing in a developing country, presenting with a 20-year history of a left flank lesion extruding minimal purulent output daily. He was seen at the emergency department due to weakness and was managed as a case of urosepsis. Contrast-enhanced CT scan and fistulogram showed a staghorn calculus in the left kidney with connections to the descending colon and skin. The patient eventually underwent a left hemicolectomy with en bloc excision of the kidney and fistula tract. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu