Summary
We report a case of reno-colic fistula with abscess formation, which was treated by staged surgical procedures. One must be wary of automatically implicating the colon as the primary source of the problem when the colon and adjacent organs are involved in an inflmmatory process. In cases involving the superior segments of the colon, the kidney or pancreas may be the source of the fistula.
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References
Arthur GW, Morris DG: Reno-alimentary fistulae. Br J Surg 53: 396, 1966
Barnardo DE, Grogono JL, Parks AG: Spontaneous rupture of a pancreatic pseudocyst into the colon. Am J Dig Dis 19: 1165, 1974
Carrillo RP, Strauch GO: Pancreaticocolic fistula. Conn Med 39: 530, 1975
Fazio V, Cady B: Spontaneous perforation of the transverse colon complicating acute pancreatitis: Report of a case. Dis Colon Rectum 17: 106, 1974
Grodsinsky C, Ponka JL: The spectrum of colonic involvement in pancreatitis. Dis Colon Rectum 21: 66, 1978
Husted JW: An unusual case of pyelonephritis: Nephrocolic fistula owing to a ruptured colonic diverticulum. J Urol 111: 724, 1974
Meyers MA: Colonic changes secondary to left perinephritis: New observations. Radiology 111: 525, 1974
Murray HW, Molavi A: Perinephric abscess: An unusual presentation of perforation of the colon. Johns Hopkins Med J 140: 15, 1977
Salvatierra O Jr, Bucklew WB, Morrow JW: Perinephric abscess: A report of 71 cases. J Urol 98: 296, 1967
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Goldman, H.S., Smith, D.L., Foote, R.F. et al. Spontaneous disruption of the colon associated with pyonephrosis: Report of a case. Dis Colon Rectum 22, 172–174 (1979). https://doi.org/10.1007/BF02586812
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DOI: https://doi.org/10.1007/BF02586812