Gimenez Elena, Raman Jay D, Lieberman Michael, Vaughan E Darracott
Department of Urology, The New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY, USA.
Can J Urol. 2008 Aug;15(4):4191-3.
We report a case of a cutaneous renocolic fistula in a patient with staghorn calculus and diverticulitis. The most common origins of renocolic fistula are primary renal diseases including xanthogranulomatous pyelonephritis, trauma, malignancy or tuberculosis. While diverticulitis has rarely been associated with renocolic fistula, previous instances of fistulae have been noted in patients with simultaneous kidney disease. Inflammation resulting from kidney disease may place patients with colonic diverticulitis at higher risk for developing renocolic or cutaneous renocolic fistulas.
我们报告了一例患有鹿角形结石和憩室炎的患者发生皮肤肾结肠瘘的病例。肾结肠瘘最常见的起源是原发性肾脏疾病,包括黄色肉芽肿性肾盂肾炎、创伤、恶性肿瘤或结核病。虽然憩室炎很少与肾结肠瘘相关,但之前在同时患有肾脏疾病的患者中已注意到瘘管的病例。肾脏疾病引起的炎症可能使患有结肠憩室炎的患者发生肾结肠瘘或皮肤肾结肠瘘的风险更高。