Primary Repair of Colorenocutaneous Fistula in Patients with Genitourinary Tuberculosis

Hemal, A.K.; Gupta, Nikhil; Wadhwa, Sanjay; Songra, Moolchand; Batura, Deepak; Bhuyan, U N

doi:10.1159/000282568

Cited by 11 publications

(6 citation statements)

References 1 publication

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“…The nephrocutaneous tracts usually heal spontaneously once the distal drainage from the kidney is ensured but in rare cases they may persist. The usual causes for persistence are distal urinary obstruction, malignancy of the tract, tuberculosis, and chronic nonspecific inflammation [2][3][4][5][6]. The possible cause of recurrence of the nephrocutaneous fistula in the case presented above was the persistence of renal infection due to inadequate resection of the tract during the previous surgery.…”

Section: Discussionmentioning

confidence: 99%

A Case of Recurrent Nephrocutaneous Fistula Treated with Partial Nephrectomy

Jindal¹,

Mukherjee²,

Mandal³

et al. 2012

UIJ

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Nephrocutaneous fistula is a distressing clinical condition. The fistula can be very difficult to treat and has a high chance of recurrence. The standard treatment of a recurrent fistula is nephrectomy along with the excision of the fistula. We present a case with recurrent nephrocutaneous fistula along with a hypofunctional contralateral kidney. This was a difficult clinical scenario as any compromise of the affected kidney could have resulted in renal failure. The patient was treated with a left upper polar partial nephrectomy and excision of the fistulous tract.

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Section: Discussionmentioning

confidence: 99%

A Case of Recurrent Nephrocutaneous Fistula Treated with Partial Nephrectomy

Jindal¹,

Mukherjee²,

Mandal³

et al. 2012

UIJ

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“…Although it seems clear that mediastinal TB is associated with the incidence of esophageal fistulae in HIV infection, it remains unclear whether HIV infection may increase the incidence of digestive fistulae distally to the esophagus, in the presence of associated abdominal TB 15 . This uncertainty may be attributed to the fact that abdominal digestive fistulae caused by Mycobactierium infection is a rare entity either in the abscence or in the presence of HIV infection 3,[16][17][18][19][20] . Abdominal TB can present as tuberculous peritonitis with generalized or loculated ascites, intestinal TB, and frequently leads to lymphadenitis of the mesenteric or retroperitoneal lymphnodes, where inflammation, necrosis, and suppuration may result in fistula formation 12,21 .…”

Section: Discussionmentioning

confidence: 99%

Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis

et al. 2003

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Allthough infrequent, digestive fistulae in HIV/AIDS patients have been reported throughout the digestive tract from the esophagus to the anus, with predominance of esophageal fistulae. AIDS/HIV-associated opportunistic infections may invade the digestive system and lead to fistula formation. Tuberculosis is the most common infection associated with these esophageal fistulae. We report here one case of bile duct-duodenal fistula in a female AIDS patient with associated abdominal Mycobacterium tuberculosis infection compromising lymphnodes of the hepatic pedicle where the fistula was found. According to the reviewed literature, this is the third case of bile duct-duodenal fistula associated with abdominal tuberculosis in AIDS patient, and the first where both the fistula and the tuberculosis infection were diagnosed at laparotomy for acute abdomen. Whether the AIDS patient with abdominal pain needs or not a laparotomy to treat an infectious disease is often a difficult matter for the surgeon to decide, as most of the times appropriate medical treatment will bring more benefit.

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“…Twelve published cases of spontaneous NCCF have been reported in pubmed indexed literatures till date. [1][2][3][4][5][6][7][8][9][10] Most of the cases are found to be associated with calculus pyonephrosis. Four of them were caused by tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

“…Four of them were caused by tuberculosis. [1][2][3] We have gone through literatures and discussed here the etiopathogenesis and management of NCCF associated with renal tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Renal Tuberculosis Presenting as Nephrocolocutaneous Fistula

Kumar¹,

Prasad²,

Ahmed³

et al. 2014

jemds

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We report a very uncommon manifestation of renal tuberculosis as nephrocolocutaneous fistula (NCCF). Patient presented with chronic discharging sinus. Radiological studies of sinus tract revealed fistulous communication of tract with colon and a completely disorganized non-functional renal unit. Colonoscopy confirmed fistulous opening in descending colon. Patient was explored retroperitoneally after starting antituberculous therapy (ATT) empirically. Nephrectomy was done but colonic fistula could not be traced due to dense adhesion in colonic area. Incision was closed after putting drain. Histopathology of excised mass was suggestive of tuberculous infection. Patient got uneventful recovery with anti tuberculous chemotherapy

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Primary Repair of Colorenocutaneous Fistula in Patients with Genitourinary Tuberculosis

Abstract: Two cases of colorenocutaneous fistula due to genitourinary tuberculosis are presented. They were successfully managed by single-stage surgery (nephrour-eterectomy, fistulectomy, and primary repair of the colon) and antitubercular treatment. The literature is briefly reviewed.

Cited by 11 publications

References 1 publication

A Case of Recurrent Nephrocutaneous Fistula Treated with Partial Nephrectomy

A Case of Recurrent Nephrocutaneous Fistula Treated with Partial Nephrectomy

Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis

Renal Tuberculosis Presenting as Nephrocolocutaneous Fistula

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