Hillman Emily, Fu Hangcheng, Anele Uzoma
Urology, University of Louisville School of Medicine, Louisville, USA.
Cureus. 2023 Sep 5;15(9):e44741. doi: 10.7759/cureus.44741. eCollection 2023 Sep.
Although rare, colo-renal fistulas pose diagnostic challenges due to their varied presentations and etiologies. Here, we present a unique case of a woman with recurrent pyelonephritis, severe anemia, and unintended weight loss, who was eventually diagnosed with a colo-renal fistula. Delayed imaging following intraoperative fluoroscopy revealed the abnormal connection between the colon and upper urinary tract. The patient underwent nephrectomy and colon resection. This case report emphasizes the need for suspicion in diagnosing such fistulas and highlights their varied management. This case adds to the literature by illustrating an unusual presentation and underscores the complexity of diagnosis and treatment.
尽管结肠-肾瘘罕见，但因其表现形式和病因多样，给诊断带来了挑战。在此，我们报告一例独特病例，一名患有复发性肾盂肾炎、严重贫血和意外体重减轻的女性，最终被诊断为结肠-肾瘘。术中透视后延迟成像显示结肠与上尿路之间存在异常连接。患者接受了肾切除术和结肠切除术。本病例报告强调了在诊断此类瘘管时需要保持怀疑，并突出了其多样化的治疗方法。该病例通过说明一种不寻常的表现补充了文献，并强调了诊断和治疗的复杂性。
