Renal jejunal fistula with worm infestation: A rare case report from a pediatric patient.
| Autor: | Mohayuddin N; Rehman Medical Institute, Peshawar, Pakistan. Electronic address: nazim.mohayuddin@rmi.edu.pk., Nathaniel E; Rehman Medical College, Department of Medical Research, Pakistan. Electronic address: eemazoo64@gmail.com., Obaid B; Mardan International Hospital, Mardan, Pakistan., James A; Mission Hospital, Department of Medicine, Peshawar, Pakistan., Ikram J; Rehman Medical Institute, Department of Surgery, Peshawar, Pakistan., Zahid A; Rehman Medical Institute, Department of Surgery, Peshawar, Pakistan. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of surgery case reports [Int J Surg Case Rep] 2024 Dec; Vol. 125, pp. 110482. Date of Electronic Publication: 2024 Oct 19. |
| DOI: | 10.1016/j.ijscr.2024.110482 |
| Abstrakt: | Introduction and Importance: This case report details a rare instance of a renal jejunal fistula accompanied by tuberculosis (TB) and parasitic infestation in a pediatric patient. It adds to the limited literature on renal fistulas involving the jejunum, particularly those compounded by infectious diseases, highlighting the diagnostic and therapeutic challenges in managing such complex cases. Case Presentation: The patient initially presented with flank pain, a discharging sinus in the left flank region, cough, and general malaise, alongside symptoms of anemia. Clinical examination and diagnostics unveiled a non-functioning left kidney with multiple calculi and signs of severe pyelonephritis. However, surgery revealed an unexpected twist-a renal jejunal fistula with worm infestation. Clinical Discussion: The main diagnoses included a renal jejunal fistula, tuberculosis, and parasitic infestation. The patient underwent a left nephrectomy to remove the affected kidney, and the fistula was repaired. Postoperative care involved TB treatment and deworming. The case underscored the necessity of a comprehensive diagnostic approach and readiness for unexpected intraoperative findings. Conclusion: This case highlights the importance of considering infectious diseases in the differential diagnosis of unusual renal or gastrointestinal symptoms, especially in pediatric patients from endemic regions. It demonstrates the necessity of interdisciplinary collaboration in managing rare and complex medical conditions and stresses the need for follow-up to assess long-term outcomes, which was limited in this case due to the patient's non-attendance at scheduled visits. Competing Interests: Conflict of interest statement All authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Databáze: | MEDLINE |
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