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一例主要以排便习惯改变为表现的肾结肠瘘病例。

A case of nephrocolic fistula presenting primarily with changes in bowel habits.

作者信息

Wan Yuzhi, Xiao Feng, Wu Jiang, Chen Chaowu

机构信息

The Frist Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha, 410000, China.

出版信息

Urol Case Rep. 2024 Dec 5;58:102904. doi: 10.1016/j.eucr.2024.102904. eCollection 2025 Jan.

DOI:10.1016/j.eucr.2024.102904
PMID:39759587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11696616/
Abstract

We report a rare case of nephrocolic fistula in a 56-year-old female presenting with a three-month history of altered bowel habits. Initial colonoscopy revealed a sinus tract in the descending colon. Her hemoglobin was 79 g/L, and she had a history of nephrolithiasis and trauma. Further imaging, including CT and contrast studies, confirmed a nephrocolic fistula. Surgical intervention involved left hemicolectomy, excision of the fistula tract, and renal repair. This case highlights the importance of considering nephrocolic fistula in patients with gastrointestinal symptoms and a history of urinary tract pathology.

摘要

我们报告了一例罕见的肾结肠瘘病例，患者为一名56岁女性，有三个月排便习惯改变的病史。初次结肠镜检查发现降结肠有一个窦道。她的血红蛋白为79 g/L，有肾结石和外伤史。包括CT和造影检查在内的进一步影像学检查证实了肾结肠瘘。手术干预包括左半结肠切除术、瘘管切除和肾脏修复。该病例强调了在有胃肠道症状和尿路病理病史的患者中考虑肾结肠瘘的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/8706026370dd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/e32c20a05259/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/f0029626e4d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/8706026370dd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/e32c20a05259/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/f0029626e4d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/11696616/8706026370dd/gr3.jpg

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本文引用的文献

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Urol Case Rep. 2023 Dec 12;52:102636. doi: 10.1016/j.eucr.2023.102636. eCollection 2024 Jan.
2
Colo-renal Fistula in a Patient With Refractory Anemia and Recurrent Urinary Tract Infections: A Case Report and Review of the Literature.一名患有难治性贫血和复发性尿路感染患者的结肠-肾瘘：病例报告及文献复习
Cureus. 2023 Sep 5;15(9):e44741. doi: 10.7759/cureus.44741. eCollection 2023 Sep.
3
Xanthogranulomatous Pyelonephritis Causing Renocolic Fistula Presenting as Symptomatic Anemia.
导致肾结肠瘘并表现为症状性贫血的黄色肉芽肿性肾盂肾炎
Cureus. 2019 Jun 19;11(6):e4947. doi: 10.7759/cureus.4947.
4
Appendicovesical fistula presenting as hypokalaemic hyperchloraemic metabolic acidosis: a case report.以低钾高氯性代谢性酸中毒为表现的阑尾膀胱瘘：一例报告
Ann R Coll Surg Engl. 2019 Jul;101(6):e131-e132. doi: 10.1308/rcsann.2019.0047. Epub 2019 Jun 3.
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A case with fistula formation between a perinephric retroperitoneal abscess, a ureter and a descending colon: Successful outcome after conservative management.一例肾周腹膜后脓肿、输尿管与降结肠之间形成瘘管的病例：保守治疗后取得成功结果。
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Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report.肾肿瘤经皮冷冻消融术后并发结肠瘘的成功保守治疗：一例报告
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