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Case Reports
. 2018 Mar 9:2018:bcr2017223558.
doi: 10.1136/bcr-2017-223558.

Renocolic fistula secondary to urothelial carcinoma

Affiliations
Case Reports

Renocolic fistula secondary to urothelial carcinoma

Michael Auld et al. BMJ Case Rep. .

Abstract

A 77-year-old man presented with watery, bloody diarrhoea, symptomatic anaemia and signs of sepsis. He was well known to our unit with a history of extensive low-grade urothelial carcinoma involving a solitary kidney. CT performed on admission demonstrated a new finding of renocolic fistula. Due to his multiple medical and surgical comorbidities conservative management was elected. He passed away after 1 year of follow-up.

Keywords: general surgery; haematuria.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Coronal section of a CT abdomen (non-contrast) with an arrow highlighting the renocolic fistula with a trapped gas locule in the renal mass.
Figure 2
Figure 2
Sagittal section of a CT abdomen (non-contrast) with an arrow highlighting the renocolic fistula with a gas locule trapped in the renal mass and the descending colon on the lateral aspect.

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References

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