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Published on: July 11, 2013
Spino-renal fistula due to gunshot injury
M M Alsharef1, N Christopher, T Fourie
1Department of Urology, Grey's Hospital, Nelson R Mandela School of Medicine, University of Kwazulu-Natal, Durban, South Africa. drsharef@gmail.com
Abstract:
A 22-year-old female patient was treated for spino-renal fistula as a result of a high-velocity gunshot injury to her abdomen. The patient presented with meningeal signs, a headache and right monoparesis. A CT scan of her abdomen revealed a leak of contrast from the right kidney into the perirenal space and tracking further into the thecal sac. An MRI scan showed a stable fracture of L3 with slight compression of the thecal sac and features of cord contusion caused by the shockwave of the bullet. To the best of our knowledge a spino-renal fistula of traumatic origin has not previously been reported in the English language literature.
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