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Case Reports
. 2015 Jan-Mar;7(1):94-6.
doi: 10.4103/0974-7796.148632.

Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management

Raman Tanwar  1 , Kirti Vijay Rathore  2 , Mahesh Kumar Rohilla  1
Affiliations
Case Reports

Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management

Raman Tanwar et al. Urol Ann. 2015 Jan-Mar.

Abstract

Renal stones are a common affliction presenting in an acute setting. We report a case of asymptomatic renal stone in an elderly gentleman presenting initially as a discharging lumbar sinus managed by subcapsular nephrectomy and radical excision of the fistula tract. Nephrocutaneous fistula is most commonly associated with tuberculosis, xanthogranulomatous pyelonephritis, and rarely with complicated calyceal stones, and its occurrence with asymptomatic pelvic stones is rare. We present the points in favor of radical open surgery in the management of such patients.

Keywords: Chronic pyelonephritis; nephrectomy; nephrocutaneous fistula; nephrolithiasis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
External appearance of the lumbar sinus
Figure 2
Figure 2
Sinogram revealing extensive nephrocutaneous fistula
Figure 3
Figure 3
Intraoperative picture depicting the extent of radical dissection
Figure 4
Figure 4
Postoperative specimen showing the kidney and the excised fistula
See this image and copyright information in PMC

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