Auld Michael, Keller Andrew
General Surgery, Queensland Health, Ipswich, Queensland, Australia.
Urology, Queensland Health, Ipswich, Queensland, Australia.
BMJ Case Rep. 2018 Mar 9;2018:bcr-2017-223558. doi: 10.1136/bcr-2017-223558.
A 77-year-old man presented with watery, bloody diarrhoea, symptomatic anaemia and signs of sepsis. He was well known to our unit with a history of extensive low-grade urothelial carcinoma involving a solitary kidney. CT performed on admission demonstrated a new finding of renocolic fistula. Due to his multiple medical and surgical comorbidities conservative management was elected. He passed away after 1 year of follow-up.
一名77岁男性出现水样血性腹泻、症状性贫血和脓毒症体征。他因广泛的低度尿路上皮癌累及单肾病史而被我们科室熟知。入院时进行的CT检查显示有肾结肠瘘这一新发现。由于他有多种内科和外科合并症,故选择保守治疗。随访1年后他去世了。