A Case of Nephrocolic Fistula Associated with Staghorn Calculi.
- Author:
Dong Jik AHN
1
;
Hyo Jin OH
;
In Hee LEE
Author Information
1. Department of Internal Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. kleinsbottle@yahoo.com
- Publication Type:Case Report
- Keywords:
Nephrocolic fistula;
Staghorn calculus;
Pyonephrosis
- MeSH:
Anti-Bacterial Agents;
Calculi*;
Colectomy;
Colon;
Delirium;
Dilatation;
Drainage;
Female;
Fever;
Fistula*;
Flank Pain;
Hematuria;
Humans;
Kidney;
Middle Aged;
Multiple Organ Failure;
Nephrectomy;
Nephrostomy, Percutaneous;
Pyonephrosis;
Seizures;
Sepsis;
Tomography, X-Ray Computed
- From:Korean Journal of Nephrology
2005;24(6):1045-1049
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A nephrocolic fistula is uncommon complication resulting from chronic inflammatory processes in the kidney. We report here a case of nephrocolic fistula associated with staghorn calculi. A 61-year-old female with known renal stones for three years was admitted to our hospital because of left flank pain and gross hematuria. Abdominal CT scan showed pyonephrosis with staghorn calculi in the left kidney. We performed percutaneous nephrostomy because of pelvocaliceal dilatation and high fever. Leakage of contrast dye was also detected in antegrade pyelogram, and drainage of fecal contents from nephrostomy was noted, suggesting fistulous formation between left kidney and colon. Clinical and laboratory findings of the patient deteriorated rapidly in spite of conservative management including antibiotics administration, so we performed nephrectomy with excision of the fistulous tract and partial colectomy. However, she showed delirium and had several attacks of generalized seizure, and she died of sepsis and multiple organ failure on the 33rd hospital day. In conclusion, when a nephrocolic fistula develops in patient with renal stone, prompt investigation and appropriate surgical treatment should be considered to improve the clinical outcome.
