Spontaneous nephrocutaneous fistula in tuberculous pyelonephritis: An unusual occurrence

Sharma, Adya; Ahmad, Zeeshanuddin; Songra, Moolchand

doi:10.5958/j.2319-5886.3.1.044

Cited by 2 publications

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“…3 Open nephrectomy along with excision of the fistula tract is advocated as well as proper medical therapy of the underlying causes (TB, infection). 4 In this case, we suggested partial nephrectomy along with excision of the fistula tract and pylolithotomy as peroperative clinical assessment and relative function of the affected kidney was satisfactory.…”

Section: Introductionmentioning

confidence: 86%

Spontaneous Nephrocutaneous Fistula: A Rare Case Report and Our Experience

et al. 2022

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Spontaneous nephrocutaneous fistula is a very rare entity. The majority of causes are:post operative, calculus pyonephrosis, chronic pyelonephritis, renal infection, perinephric abscess, trauma. Renal tumor, xanthogranulomatous pyelonephritis (XGP) and renal tuberculosis. A case of spontaneous nephrocutaneous fistula in a 32 years young lady complaining of seropurulent discharge from the fistula over the right lumber flank for last 8 months is presented and discussed here. Brief history, physical examination. Ultrasonography. CT fistulogramwere performed which revealed an active fistula tract from skin to pelvicalyceal system of right kidney with a large impacted stone at right pelviureteric junction (PUJ). Patient was nondiabetic and negative for renal tuberculosis whereas renogram showed 32% relative renal function of the affected side. We performed exploration along with excision of the fistula tract, partial nephrectomy, pylolithotomy with DJ stenting and percutaneous nephrostomy (PCN). Follow up period was grossly uneventful. Currently, the occurrence of these types of spontaneous fistula is extremely rare except in patient with uncontrolled DM, neoplasia or immunosuppression in general. Bangladesh J. Urol. 2021; 24(2): 235-238

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Section: Introductionmentioning

confidence: 86%

Spontaneous Nephrocutaneous Fistula: A Rare Case Report and Our Experience

et al. 2022

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“…The common causes for nephrocutaneous fistula formation are xanthogranulomatous pyelonephritis, tuberculosis, renal calculi especially impacted calyceal calculus and renal surgeries but nephrocutaneous fistula formation due to retained surgical sponge, that too within the pelvicalyceal system is very rare. [1][2][3] Gossypiboma or textiloma are the terms used to describe mass formation around retained foreign object in the body cavity, most commonly surgical sponge. 4 Fistula formation is not uncommon in textiloma, but nephrocutaneous fistula due to textiloma is very rarely reported.…”

Section: Introductionmentioning

confidence: 99%

Nephrocutaneous fistula due to textiloma with in the pelvicalyceal system

Mondal

Chatterjee

et al. 2019

Int J Res Med Sci

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Textiloma or gossypiboma is an embarrassing surgical scenario. Nephrocutaneous fistula is itself a rare complication after renal surgeries, but due to textiloma, it is rarest of the rare. In this case, 30-year-old lady presented with the complaints of chronic seropurulent discharge from a wound on her right lumbar region. On exploration it was found to be a retained surgical sponge in pelvicalyceal system, which was there for last seven years.

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Spontaneous nephrocutaneous fistula in tuberculous pyelonephritis: An unusual occurrence

Cited by 2 publications

References 0 publications

Spontaneous Nephrocutaneous Fistula: A Rare Case Report and Our Experience

Spontaneous Nephrocutaneous Fistula: A Rare Case Report and Our Experience

Nephrocutaneous fistula due to textiloma with in the pelvicalyceal system

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