Open AccessNephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management
Author(s) -
Renu Tanwar,
Kirti Vijay Rathore,
Mahesh Kumar Rohilla
Publication year - 2015
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.148632
Subject(s) - medicine , asymptomatic , fistula , nephrectomy , surgery , urinary fistula , sinus (botany) , radical surgery , lumbar , general surgery , kidney , cancer , biology , botany , genus
Renal stones are a common affliction presenting in an acute setting. We report a case of asymptomatic renal stone in an elderly gentleman presenting initially as a discharging lumbar sinus managed by subcapsular nephrectomy and radical excision of the fistula tract. Nephrocutaneous fistula is most commonly associated with tuberculosis, xanthogranulomatous pyelonephritis, and rarely with complicated calyceal stones, and its occurrence with asymptomatic pelvic stones is rare. We present the points in favor of radical open surgery in the management of such patients.