Pediatric Nephrology

, Volume 33, Issue 11, pp 2081–2083 | Cite as

Cry of a dying kidney: Answers

  • Intezar Ahmed
  • Sunita Singh
  • Farhanul Huda
  • Nilotpal Chowdhury
  • Ankit Agarwal
Clinical Quiz

How would you approach this patient?

From history and examination, it is clear that patient is a case of large renal pelvis stone with a sinus/fistula in the lumbar region. Other than ultrasonography, the simplest and easiest investigation one can perform is sinogram/fistulogram. A fistulogram was performed using water soluble contrast material, which revealed a fistula connecting the left kidney, pelvis, ureter, and urinary bladder (Fig.  1).


Dying kidney Nephrocutaneous fistula Fistulogram 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© IPNA 2018

Authors and Affiliations

  • Intezar Ahmed
    • 1
  • Sunita Singh
    • 2
  • Farhanul Huda
    • 3
  • Nilotpal Chowdhury
    • 4
  • Ankit Agarwal
    • 5
  1. 1.Department of Paediatric SurgeryAll India Institute of Medical SciencesRishikeshIndia
  2. 2.Department of Paediatric SurgeryAll India Institute of Medical SciencesRaipurIndia
  3. 3.Department of General SurgeryAll India Institute of Medical SciencesRishikeshIndia
  4. 4.Department of Pathology and Laboratory MedicineAll India Institute of Medical SciencesRishikeshIndia
  5. 5.Department of AnaesthesiaAll India Institute of Medical SciencesRishikeshIndia

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