BMJ Case Reports 2018; doi:10.1136/bcr-2017-223558
  • Unusual association of diseases/symptoms

Renocolic fistula secondary to urothelial carcinoma

  1. Andrew Keller2
  1. 1General Surgery, Queensland Health, Ipswich, Queensland, Australia
  2. 2Urology, Queensland Health, Ipswich, Queensland, Australia
  1. Correspondence to Dr Michael Auld, michael.auld{at}
  • Accepted 25 February 2018
  • Published 9 March 2018


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.


  • Contributors MA wrote the paper while AK contributed with planning and significant assistance in editing. Both authors were deeply involved in the writing process.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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