Renal fistulae: different aetiologies, similar management

BMJ Case Rep. 2017 Jul 14:2017:bcr2017219678. doi: 10.1136/bcr-2017-219678.

Abstract

Iatrogenic renocolic fistulae, although have been described in literature, is a rare clinical complication. Recently its incidence is on rise due to advent of minimally invasive surgery and percutaneous surgery of kidney. It has been reported after percutaneous nephrolithotomy but its incidence after percutaneous nephrostomy is quite uncommon and rarely reported. Though spontaneous renocutaneous fistula has been reported, acquired renocutaneous fistula is very uncommon and fistula after gun shot injury has not been reported to the best of our knowledge. Herein, we present two different varieties of renal fistula with completely different history and presentation. But the interesting point is that both were managed conservatively in a similar fashion and both of them responded well.

Keywords: renal system; urinary and genital tract disorders.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cutaneous Fistula / diagnosis*
  • Cutaneous Fistula / etiology
  • Cutaneous Fistula / surgery
  • Diagnosis, Differential
  • Female
  • Humans
  • Kidney Diseases / diagnosis*
  • Kidney Diseases / diagnostic imaging
  • Kidney Diseases / etiology
  • Kidney Diseases / surgery
  • Male
  • Nephrostomy, Percutaneous / adverse effects
  • Urinary Fistula / diagnosis*
  • Urinary Fistula / diagnostic imaging
  • Urinary Fistula / etiology
  • Urinary Fistula / surgery
  • Wounds, Penetrating / complications
  • Young Adult