RECURRENT UROSEPSIS DUE TO NEPHROCOLIC FISTULA IN AN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE

Received 2023-04-21; Accepted 2023-09-14; Published 2024-01-02

Authors

  • Muhammad Noor Adib Noor Azmi Department of Surgery, Hospital Pengajar Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia.
  • Abdul Majid Muhamad Department of Surgery, Hospital Pengajar Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia.
  • Mohd Nor Gohar Rahman Department of Surgery, Hospital Pengajar Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia.
  • Mohd Fadliyazid Ab Rahim Department of Surgery, Hospital Sultanah Nur Zahirah, 20400 Kuala Terengganu, Terengganu, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol27no1.14

Keywords:

Nephrocolic fistula, Polycystic kidney disease, Staghorn calculus

Abstract

Nephrocolic fistula is an abnormal communication between the kidney and the colon, a rare clinical phenomenon with potentially serious complications. We present a case of a 37-year-old female with autosomal dominant polycystic kidney disease who complained of left lumbar pain, fever and urinary frequency. She had multiple similar presentations for years, refractorily treated for recurrent urinary tract infections. Contrast-enhanced computed tomography abdomen demonstrated bilateral staghorn calculi and perinephric abscesses connected to the descending colon. She eventually required surgical intervention after the failure of medical therapy. Our case highlights the diagnosis and management of nephrocolic fistula.

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Published

2024-01-02

Issue

Vol. 27 No. 1 (2024)

Section

Research article

License

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