Rutgers New Jersey Medical School, Division of Urology, Newark, NJ.
Rutgers New Jersey Medical School, Division of Urology, Newark, NJ.
Urology. 2021 Aug;154:e13-e14. doi: 10.1016/j.urology.2021.04.035. Epub 2021 May 12.
Fistula formation between the kidney and the colon is a rare occurrence. Colorenal fistulas have been reported after renal cryoablation, calculous pyonephrosis, and renal cell carcinoma. Fistula formation is reported in as many as 35% of patients with Crohn's disease. Crohn's-related urinary fistulas may include enterovesical, enteroureteral, rectourethral, urethrocutaneous, and entero-urachal fistulas. Here, we report a rare case of a patient who was found to have a left colorenal fistula in the setting of a left staghorn calculus and recurrent urinary tract infections with a question about the eventual definitive management of the patient.
肾脏和结肠之间瘘管的形成是一种罕见的情况。肾冷冻消融、结石性肾盂积脓和肾细胞癌后曾有报道过彩色肾瘘。多达 35%的克罗恩病患者报告有瘘管形成。克罗恩病相关的尿瘘可能包括肠膀胱瘘、肠输尿管瘘、直肠尿道瘘、尿道皮肤瘘和肠脐瘘。在这里，我们报告了一例罕见的病例，患者左肾结石伴反复尿路感染，左肾铸型结石，发现左侧彩色肾瘘，最终确定患者的治疗方案。
