结肠皮肤瘘与肾皮肤瘘合并肾结石及肾替代脂肪瘤病。病例报告。

Communicating Fistula Between Colocutan and Nephrocutan With Renal Stones and Renal Replacement Lipomatosis. A Case Report.

作者信息

Soeprijanto Bambang, Djatisoesanto Wahjoe, Sandhika Willy

机构信息

Radiology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.

Urology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Urol Case Rep. 2016 Nov 16;10:16-18. doi: 10.1016/j.eucr.2016.10.012. eCollection 2017 Jan.

DOI:10.1016/j.eucr.2016.10.012

PMID:28083471

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5223109/

Abstract

Colocutaneous fistula with nephrocutaneous fistula is a rare condition. Renal replacement lipomatosis is the result of the atrophy and destruction of renal parenchyma. We report a 60-year-old male with intermittent drainage mucus and fluid from ulcer of his right lumbar region. Renal ultrasound and plain abdominal X-ray revealed a chronic parenchymal disease with stone of the right kidney. Fistulography showed a fistula tract connecting the skin and the right pelvicalyceal system and the colon. Computerized tomography demonstrated a renal calculus with a massive fatty proliferation. The patient was planned for right nephrectomy and excision of the sinus tract.

摘要

结肠皮肤瘘合并肾皮肤瘘是一种罕见的病症。肾替代性脂肪瘤病是肾实质萎缩和破坏的结果。我们报告一名60岁男性，其右腰区溃疡间歇性排出黏液和液体。肾脏超声和腹部平片显示右肾存在慢性实质性疾病并伴有结石。瘘管造影显示有一条瘘管连接皮肤与右肾盂肾盏系统及结肠。计算机断层扫描显示有一枚肾结石伴大量脂肪增生。该患者计划接受右肾切除术及窦道切除术。