Colo-renal fistula: An unusual cause of hematochezia.
作者信息
Wysocki John D, Joshi Virendra, Eiser John W, Gil Naveed
机构信息
John D Wysocki, Virendra Joshi, Naveed Gil, Tulane University School of Medicine, LA 70112 , United States.
出版信息
World J Gastrointest Pathophysiol. 2010 Aug 15;1(3):106-8. doi: 10.4291/wjgp.v1.i3.106.
Abstract
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.
摘要
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