A rare case of spontaneous nephrocutaneous fistula

Authors

  • Atish N. Bansod Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra
  • Girish N. Mirajkar Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra
  • Rohan Umalkar Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra
  • Sarvagya Mishra Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra
  • Ankur Kumar Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra
  • Premalatha Nadar Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

DOI:

https://doi.org/10.18203/2349-2902.isj20201902

Keywords:

Chronic pyelonephritis, Nephrocutaneous fistula, Nephrolithiasis, Nephrectomy

Abstract

Acute and chronic pyelonephritis are known afflictions to the kidney in diabetics and in patients of abnormal urinary anatomy. And its presentation as a spontaneous sinus opening on the anterior abdominal wall is a rare phenomenon. We present one such rare case of a 71-year-old male with pus discharge from the anterior abdominal wall for 7 months. On investigating, it was found to be a nephrocutaneous fistula arising from the left non-functional kidney. This was dealt with left nephrectomy along with excision of the sinus tract. Though a very rare condition, a possibility of nephrocutaneous fistula must be kept when dealing with discharging sinus in lumbar region.

 

Author Biographies

Girish N. Mirajkar, Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

JUNIOR RESIDENT, DEPT. OF SURGERY, IGGMC, NAGPUR

Rohan Umalkar, Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

ASSISTANT PROFESSOR, DEPT. OF SURGERY, IGGMC, NAGPUR

Sarvagya Mishra, Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

SENIOR RESIDENT, DEPT. OF SURGERY, IGGMC, NAGPUR.

Ankur Kumar, Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

JUNIOR RESIDENT, DEPT OF SURGERY, IGGMC, NAGPUR

Premalatha Nadar, Department of Surgery, Indira Gandhi Govt. Medical College, Nagpur, Maharashtra

JUNIOR RESIDENT, DEPT. OF SURGERY, IGGMC, NAGPUR

References

Hamard M, Amzalag G, Becker CD, Poletti PA. Asymptomatic Urolithiasis Complicated by Nephrocutaneous Fistula. J Clin Imaging Sci. 2017;7:9.

Tanwar R, Rathore KV, Rohilla MK. Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management. Urol Ann. 2015;7(1):94-6.

Charles JC. Nephrocutaneous fistula. J Natl Med Assoc. 1990;82(8):589-90.

Puthenveetil RT, Baishya D, Barua S, Sarma D. Unusual case of nephrocutaneous fistula - Our experience. Asian J Urol. 2016;3(1):56-8.

Weissman S, Ghaffar M, Safavian D, Rubal S, Khabut A, Maruf MG, et al. Nephrocutaneous Fistula due to Xanthogranulomatous Pyelonephritis. Cureus. 2018;10(10):e3467.

Alazab R, Ghawanmeh HM, Abushamma F, Ababneh O, Al-Karasneh AI. Spontaneous Nephrocutaneous Fistula: Rare Complication of Xanthogranulomatous Pyelonephritis. Urol Case Rep. 2017;11:44-6.

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Published

2020-04-23

Issue

Section

Case Reports