Late complication of a renal calculus: fistulisation to the psoas muscle, skin and bronchi
AUTOR(ES)
Snoj, Ziga, Savic, Nenad, Regvat, Jaka
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2015-08
RESUMO
ABSTRACTKidney disease presenting with cutaneous fistula is a rare condition. We present a case of a 90-year-old woman with dementia who had no prior urological problems and had a cutaneous fistula in the left lumbar region. A fistulogram and computer tomography examination revealed a large staghorn calculus with signs of xanthogranulomatous pyelonephritis in the left kidney and renal fistulisation to the psoas muscle, skin and bronchi. To our knowledge this is the first report in the literature of coexisting renal fistulisation to the psoas major muscle, skin and bronchi. This report illustrates how computed tomography in combination with fistulography can resolve the diagnostic dilemma that pertains to the complex spread of the disease in cases involving nephrocutaneous fistula. Furthermore, the report shows how a renal calculus, even asymptomatic, can cause a serious medical condition, and highlights the importance of early medical intervention.
Documentos Relacionados
- Testicular calculus: A rare case
- URETERAL CALCULUS: CLINICAL ANALYSIS OF 200 CASES *
- Metabolic investigation of patients with staghorn calculus: is it necessary?
- THE ACUTE CALCIFICATION OF TRAUMATIZED MUSCLE, WITH PARTICULAR REFERENCE TO ACUTE POST-TRAUMATIC RENAL INSUFFICIENCY 1
- Respiratory modulation of the activity in sympathetic neurones supplying muscle, skin and pelvic organs in the cat.