Soeprijanto Bambang, Djatisoesanto Wahjoe, Sandhika Willy
Radiology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.
Urology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.
Urol Case Rep. 2016 Nov 16;10:16-18. doi: 10.1016/j.eucr.2016.10.012. eCollection 2017 Jan.
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.
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。
