Open AccessSpontaneous uretero-sigmoid fistula secondary to calculus
Author(s) -
I. Marzouk,
Mounir Ben Moussa,
Lotfi Saadallah,
Sami Bouchoucha,
L. Hendaoui
Publication year - 2016
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.3402
Subject(s) - medicine , hydronephrosis , fistula , sigmoid colon , surgery , anastomosis , calculus (dental) , enema , radiology , projectional radiography , computed tomography , rectum , urinary system , anatomy , dentistry
A 25-year-old man was referred to the urology department after a subacute history of left back pain, burning micturition associated with pneumaturia and fecaluria. Ultrasonography was performed showing hydronephrosis, and plain film radiography demonstrated a long vertical left pelvic calculi. Uro-computed tomography (CT) combined with a water enema CT showed a 10 cm long calculus with the cranial extremity fistulating the sigmoidal wall. Surgical treatment included left nephroureterectomy and sigmoidectomy with a colorectal anastomosis. Postoperative course was uneventful.