Wysocki John D, Joshi Virendra, Eiser John W, Gil Naveed
John D Wysocki, Virendra Joshi, Naveed Gil, Tulane University School of Medicine, LA 70112 , United States.
World J Gastrointest Pathophysiol. 2010 Aug 15;1(3):106-8. doi: 10.4291/wjgp.v1.i3.106.
A 76 year old woman with bloody stools and symptomatic anemia presented to the Emergency Department approximately 2 wk after computed tomography (CT)-guided cryoablation to a 4.5 cm renal cell carcinoma on her left posterior kidney. The patient was initially prepped for a colonoscopy to view possible causes of lower gastrointestinal bleeding. However, the patient had a CT with PO contrast that revealed a variation of a renoalimentary fistula. The patient was subsequently brought to the operating room, and it was discovered that a colo-renal fistula had formed, with transmural perforation of the posterior descending colon. A left nephrectomy, left colectomy with colostomy and Hartmann's pouch was performed.
一名76岁女性，有便血和症状性贫血，在对其左后肾4.5厘米肾细胞癌进行计算机断层扫描（CT）引导下冷冻消融术后约2周就诊于急诊科。患者最初准备接受结肠镜检查以查看下消化道出血的可能原因。然而，患者进行的口服对比剂CT显示存在肾肠瘘变异。患者随后被送往手术室，发现形成了结肠肾瘘，降结肠后壁有透壁穿孔。遂行左肾切除术、左半结肠切除术加结肠造口术及Hartmann袋手术。
