Renocolic fistula secondary to urothelial carcinoma

BMJ Case Rep. 2018 Mar 9:2018:bcr2017223558. doi: 10.1136/bcr-2017-223558.

Abstract

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.

Keywords: general surgery; haematuria.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Transitional Cell / complications*
  • Carcinoma, Transitional Cell / pathology
  • Carcinoma, Transitional Cell / surgery
  • Colonic Diseases / pathology*
  • Colonic Diseases / therapy
  • Conservative Treatment / methods
  • Fatal Outcome
  • Humans
  • Intestinal Fistula / diagnostic imaging*
  • Intestinal Fistula / pathology
  • Intestinal Fistula / therapy
  • Kidney Diseases / pathology*
  • Kidney Diseases / therapy
  • Male
  • Sepsis / complications
  • Sepsis / diagnosis*
  • Solitary Kidney / complications
  • Solitary Kidney / diagnostic imaging*
  • Solitary Kidney / pathology
  • Tomography, X-Ray Computed / methods
  • Urinary Fistula / diagnostic imaging*
  • Urinary Fistula / pathology
  • Urinary Fistula / therapy
  • Urologic Neoplasms / complications*
  • Urologic Neoplasms / pathology
  • Urologic Neoplasms / surgery