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Reno-colo-cutaneous fistula. A case report
1Dept. of Urology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Scandinavian Journal of Urology and Nephrology
|August 1, 1997
Summary
Genito-urinary tuberculosis rarely causes a reno-colo-cutaneous fistula. This case highlights successful single-stage surgical management and anti-tubercular treatment for this rare condition.
Area of Science:
- Urology
- Infectious Diseases
- Surgical Oncology
Background:
- Genito-urinary tuberculosis (GUTB) is a significant global health concern, often presenting with diverse and complex clinical manifestations.
- Fistula formation, particularly reno-colo-cutaneous fistulas, represents an exceptionally rare complication of GUTB, posing diagnostic and therapeutic challenges.
Observation:
- This report details a unique case of a reno-colo-cutaneous fistula originating from genito-urinary tuberculosis.
- The patient presented with symptoms indicative of a complex fistula involving the kidney, colon, and skin.
Findings:
- Successful management was achieved through a single-stage surgical intervention.
- The surgical procedure encompassed nephroureterectomy, fistulectomy, and primary repair of the colon.
Implications:
- This case underscores the importance of considering rare complications like fistulas in the context of genito-urinary tuberculosis.
- The described single-stage surgical approach offers a viable and effective strategy for managing this rare clinical entity.
- Effective anti-tubercular treatment is crucial for preventing recurrence and ensuring long-term patient outcomes.