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Renocolic fistula

A rare complication of obstructive uropathy

Yilmaz, Grozdena MS, PA-C; Ranasinghe, Buddima MD, PhD; Teper, Ervin MD

Journal of the American Academy of PAs: November 2019 - Volume 32 - Issue 11 - p 29–31
doi: 10.1097/01.JAA.0000586316.89124.6d
Case Report

ABSTRACT Renocolic fistulas are abnormal connections between the upper urinary tract and the colon. Chronic renal obstruction and delayed treatment of obstructive renal stones can lead to loss of renal function, inflammation of the kidney and surrounding structures, and the development of fistulas. However, due to the increased availability of CT scans and cystoscopy for diagnosis and treatment, renocolic fistulas resulting from obstructing renal stones have become rare. This article describes a patient who was found to have a renocolic fistula on antegrade percutaneous nephrostogram. The patient was treated with a laparoscopic nephrectomy and minimally invasive colon repair and recovered.

Grozdena Yilmaz is on the faculty in biology at the College of Staten Island, City University of New York, in Staten Island, N.Y., and practices urology at Maimonides Medical Center in Brooklyn, N.Y. Buddima Ranasinghe is a resident physician in urology at Maimonides Medical Center. Ervin Teper is an attending physician in urologic oncology and associate residency program director at Maimonides Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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