RECURRENT UROSEPSIS DUE TO NEPHROCOLIC FISTULA IN AN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE

Muhammad Noor Adib Noor Azmi; Abdul Majid Muhamad; Mohd Nor Gohar Rahman; Mohd Nor Gohar Rahman; Mohd Fadliyazid Ab Rahim

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RECURRENT UROSEPSIS DUE TO NEPHROCOLIC FISTULA IN AN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE

Author: Muhammad Noor Adib Noor Azmi ¹ ; Abdul Majid Muhamad ¹ ; Mohd Nor Gohar Rahman ¹ ; Mohd Nor Gohar Rahman ² ; Mohd Fadliyazid Ab Rahim ³
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1. Department of Surgery, Hospital Pengajar Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia.
2. Faculty of Medicine, Universiti Sultan Zainal Abidin, 20400, Kuala Terengganu, Terengganu, Malaysia.
3. Department of Surgery, Hospital Sultanah Nur Zahirah, 20400, Kuala Terengganu, Terengganu, Malaysia.
Publication Type:Case Reports
Keywords: Nephrocolic fistula; Polycystic kidney disease; Staghorn calculus
From: Journal of University of Malaya Medical Centre 2024;27(1):96-98
CountryMalaysia
Language:English
Abstract: RECURRENT UROSEPSIS DUE TO NEPHROCOLIC FISTULA IN AN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE:Nephrocolic fistula is an abnormal communication between the kidney and the colon, a rare clinical phenomenon with potentially serious complications. We present a case of a 37-year-old female with autosomal dominant polycystic kidney disease who complained of left lumbar pain, fever and urinary frequency. She had multiple similar presentations for years, refractorily treated for recurrent urinary tract infections. Contrast-enhanced computed tomography abdomen demonstrated bilateral staghorn calculi and perinephric abscesses connected to the descending colon. She eventually required surgical intervention after the failure of medical therapy. Our case highlights the diagnosis and management of nephrocolic fistula.
Full text:2026071512275891355RECURRENT UROSEPSI.pdf