Open AccessColo-renal fistula: An unusual cause of hematochezia
Author(s) -
John Wysocki,
Virendra Joshi,
John W Eiser,
Naveed Gil
Publication year - 2010
Publication title -
world journal of gastrointestinal pathophysiology
Language(s) - English
Resource type - Journals
ISSN - 2150-5330
DOI - 10.4291/wjgp.v1.i3.106
Subject(s) - medicine , hematochezia , fistula , colonoscopy , nephrectomy , descending colon , renal cell carcinoma , surgery , urinary fistula , perforation , bloody , colostomy , melena , chills , lower gastrointestinal bleeding , radiology , kidney , rectum , colorectal cancer , cancer , materials science , punching , metallurgy
A 76 year old woman with bloody stools and symptomatic anemia presented to the Emergency Department approximately 2 wk after computed tomography (CT)-guided cryoablation to a 4.5 cm renal cell carcinoma on her left posterior kidney. The patient was initially prepped for a colonoscopy to view possible causes of lower gastrointestinal bleeding. However, the patient had a CT with PO contrast that revealed a variation of a renoalimentary fistula. The patient was subsequently brought to the operating room, and it was discovered that a colo-renal fistula had formed, with transmural perforation of the posterior descending colon. A left nephrectomy, left colectomy with colostomy and Hartmann's pouch was performed.