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Nephrocolic fistula complicating percutaneous nephrostolithotomy.
R Appel1, M C Musmanno, J G Knight
1Urology Service, Naval Hospital, San Diego, California.
The Journal of Urology
|November 1, 1988
Summary
Nonoperative management of nephrocolic fistulas, a rare complication of percutaneous nephrostolithotomy, can be achieved. This approach involves ensuring adequate urinary drainage, removing the nephrostomy tube, and utilizing an elemental diet with antibiotic coverage.
Area of Science:
- Urology
- Surgical Complications
Background:
- Percutaneous nephrostolithotomy (PCNL) is a common procedure for kidney stone removal.
- Nephrocolic fistula is a rare but serious complication following PCNL.
Observation:
- This report details the successful nonoperative management of a patient with a nephrocolic fistula.
- The fistula resulted from a prior percutaneous nephrostolithotomy procedure.
Findings:
- The successful nonoperative strategy included adequate urinary drainage.
- Key interventions were removal of the nephrostomy tube, administration of an elemental diet, and antibiotic therapy.
Implications:
- Nonoperative management is a viable option for nephrocolic fistulas post-PCNL.
- This approach may avoid more invasive surgical interventions.
- Highlights the importance of supportive care in managing complex urological complications.