Colo-renal fistula in a patient with recurrent UTI: a case report and review of the literature
DOI:
https://doi.org/10.52786/isu.a.116Keywords:
Colorenal fistula, renocolic fistulaAbstract
Colorenal fistula is a rare and diagnostically challenging condition due to the variation of clinical presentations and diverse etiologies. This is a case report on a patient presenting with pneumaturia and recurrent urinary tract infections (UTIs). The patient had a 19-year history of multiple UTIs, including episodes of acute pyelonephritis, orchitis, and cystitis. A severe episode occurred five years earlier, when he developed a liver abscess. Computed tomography (CT) revealed air within the left renal pelvis and urinary bladder. The atrophic left kidney was adherent to the descending colon, leading to a diagnosis of colorenal fistula. The patient underwent left nephrectomy with segmental colon resection. The postoperative course was uneventful except for a wound infection on day 4, which was resolved with treatment. Histopathological examination demonstrated chronic inflammation. This case presents as a chronic colorenal fistula with a prolonged asymptomatic phase.
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