Nayyar Rishi, Kumar Prashant
Department of Urology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2019 Mar 22;12(3):e228278. doi: 10.1136/bcr-2018-228278.
Entero-urinary fistulas are uncommon in urological practice and may have widely varying aetiologies ranging from benign to malignant or iatrogenic in nature. All permutations of entero-urinary fistulas have been reported in the literature except an appendico-renal fistula. Here, we present one such case, presenting with urinary tract infections and perineal urethrocutaneous fistulae. He was ultimately diagnosed to have a spontaneous appendico-renal fistula as underlying pathology behind the symptoms.
肠-泌尿瘘在泌尿外科临床实践中并不常见，其病因广泛多样，从良性到恶性或医源性。除阑尾-肾瘘外，文献中已报道了所有类型的肠-泌尿瘘。在此，我们报告这样一例病例，患者表现为尿路感染和会阴尿道皮肤瘘。最终诊断其潜在病理为自发性阑尾-肾瘘，是症状背后的病因。
