Renocolic fistula secondary to urothelial carcinoma

A 77-year-old man presented with watery, bloody diarrhoea, symptomatic anaemia and signs of sepsis. He was well known to our unit with a history of extensive low-grade urothelial carcinoma involving a solitary kidney. CT performed on admission demonstrated a new finding of renocolic fistula. Due to...

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Veröffentlicht in:	BMJ case reports 2018-03, Vol.2018, p.bcr-2017-223558
Hauptverfasser:	Auld, Michael, Keller, Andrew
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Aged Bladder Bladder cancer Carcinoma, Transitional Cell - complications Carcinoma, Transitional Cell - pathology Carcinoma, Transitional Cell - surgery Case reports Colonic Diseases - pathology Colonic Diseases - therapy Conservative Treatment - methods Diarrhea Fatal Outcome Fistula Histology Humans Intestinal Fistula - diagnostic imaging Intestinal Fistula - pathology Intestinal Fistula - therapy Kidney Diseases - pathology Kidney Diseases - therapy Male Medical imaging Radiation therapy Sepsis Sepsis - complications Sepsis - diagnosis Solitary Kidney - complications Solitary Kidney - diagnostic imaging Solitary Kidney - pathology Tomography, X-Ray Computed - methods Unusual Association of Diseases/Symptoms Urinary Fistula - diagnostic imaging Urinary Fistula - pathology Urinary Fistula - therapy Urine Urologic Neoplasms - complications Urologic Neoplasms - pathology Urologic Neoplasms - surgery
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Beschreibung
Zusammenfassung:	A 77-year-old man presented with watery, bloody diarrhoea, symptomatic anaemia and signs of sepsis. He was well known to our unit with a history of extensive low-grade urothelial carcinoma involving a solitary kidney. CT performed on admission demonstrated a new finding of renocolic fistula. Due to his multiple medical and surgical comorbidities conservative management was elected. He passed away after 1 year of follow-up.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2017-223558