Renocolic Fistula Secondary to Tuberculosis: A Case Report
Journal Title: Urology and Andrology – Open Journal - Year 2017, Vol 1, Issue 1
Abstract
Background: Renocolic fistula secondary to tuberculosis has become rare in recent years. The availability of tuberculosis medication and the global campaign towards it’s eradication has immensely contributed to this result. The management of renocolic fistula is essentially surgical comprising of a nephrectomy and a resection of the affected segment of the colon. The underlying cause of the fistula needs to determined and must be treated appropriately in order to secure the health of the patient. Case presentation: We present the case of a 75-year-old Moroccan man who was admitted to our department for perirenal abscess associated with a renocolic fistula. He had a 2 month history of left low back pain, intermittent fever and progressive weight loss. The diagnosis of this patient was established with the help of an abdominal computed tomography (CT) scan. A biopsy of a suspected mass on the CT scan was performed during colonoscopy. Histopathological revealed Tuberculosis (TB) as being the underlying cause of this affection. Conclusion: Renocolic fistula secondary to TB has recently become rare with no specific clinical and radiological features that allow an easy and sure diagnosis. We therefore present this case report with the view of adding a new and recent case to the English literature. In addition, we will discuss how to best establish diagnosis and manage this disease.
Authors and Affiliations
Somuah Tenkorang
Dhat Syndrome and its Social Impact
Cultural beliefs prevalent in the society have a very severe impact on the mind and behavior of the person. Sexuality is a very important but under discussed domain in public as well as in our education system.1,2 So the...
A Fatal Case of Providencia Sepsis
The risk of acquisition of multi-drug resistance remains a major hurdle in management of patients with sepsis. Owing to limitation in availability of antibiotics and increasing surge of multi-drug resistant organisms, th...
Free Split-Skin Grafting to Correct Radical Circumcision: An Alternative Solution for an Under-Reported Complication
Circumcision is one of the most common surgical procedures worldwide, and like all other operations, there is a risk of complication. Our patient had an excessive skin excision circumcision which led to a symptomatic par...
Determination of Circulating Tumor Cells by Flow Cytometry in the Bladder Cancer Patients
Background The current study aimed to detect of circulating tumor cells (CTCs) in 7.5 mL blood sample in bladder cancer patients treated with transurethral resection (TUR) or radical cystectomy (RC) and compare the pre-o...
Post-Finasteride Syndrome: An Underestimated Phenomenon
With their increased popularity in the treatment of benign prostate hyperplasia (BPH), physicians are encountering with the side effects of 5 alpha reductase inhibitors (5ARIs) (finasteride and dutasteride) more often. A...