Related Experiment Videos
[Renocolic fistula: a case report]
1Department of Urology, Osaka National Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|August 10, 2000
Summary
A rare renocolic fistula in a 78-year-old woman was successfully treated with surgery. This case highlights surgical management for complex renal conditions despite patient age and comorbidities.
Area of Science:
- Nephrology
- Urology
- Gastroenterology
Background:
- Renocolic fistulas are rare, often associated with complex urinary tract issues.
- This case involves a 78-year-old female presenting with pneumaturia, anemia, and positive fecal occult blood.
Observation:
- Imaging revealed a left renocolic fistula, bilateral renal stones, and a non-functioning left kidney.
- Urine cultures identified Proteus vulgaris and Klebsiella oxytoca.
Findings:
- Surgical intervention included right pyelolithotomy, followed by left nephrectomy and partial colectomy.
- The patient experienced an uneventful postoperative recovery.
Implications:
- Surgical management of renocolic fistulas can be successful even in elderly patients with significant renal dysfunction.
- This case contributes to the limited literature on renocolic fistula treatment, emphasizing surgical efficacy.
- Careful consideration of patient factors is crucial for optimizing surgical outcomes in rare renocolic fistula cases.