Unusual case of nephrocutaneous fistula – Our experience
| Autor: | Debajit Baishya, Rajeev T Puthenveetil, Debanga Sarma, Sasanka K. Barua |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Fistula 030232 urology & nephrology Case Report lcsh:RC870-923 urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Urinary Leakage Xenthogranulomatouse pyelonephritis medicine Renal calculus Sinus (anatomy) Calculus (medicine) Kidney business.industry medicine.disease lcsh:Diseases of the genitourinary system. Urology Surgery Left Lumbar Region medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen business Nephrocutaneous fistula Renal pelvis |
| Zdroj: | Asian Journal of Urology Asian Journal of Urology, Vol 3, Iss 1, Pp 56-58 (2016) |
| ISSN: | 2214-3882 |
| DOI: | 10.1016/j.ajur.2015.10.005 |
| Popis: | A rare case of nephrococutaneous fistula due to spontaneous expulsion of renal calculi is described. A 45-year-old man presented with urinary leakage from an ulcer over the left lumbar region for the last 3 months after a history of spontaneous expulsion of stones from this area. Ultrasonography abdomen revealed a small contracted kidney with multiple calculi in the kidney and renal pelvis, sinus tract from the lower pole of the left kidney with a ruptured calyceal calculus in the sinus tract. CT urography revealed a non excreting left kidney with multiple renal calculi, with hyperdense collection in the renal parenchyma extending to the subcutaneous tissue and left lung suggesting a xenthogranulomatous pyelonephritis (XGP). We performed a left-sided simple nephrectomy with excision of the fistulous tract. Histopathological examination revealed XGP. There have been a few case reports of XGP forming nephrocutaneous fistula in the back. |
| Databáze: | OpenAIRE |
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