Colocutaneous fistula with nephrocutaneous fistula is a rare condition. Renal replacement lipomatosis is the result of the atrophy and destruction of renal parenchyma. We report a 60-year-old male with intermittent drainage mucus and fluid from ulcer of his right lumbar region. Renal ultrasound and plain abdominal X-ray revealed a chronic parenchymal disease with stone of the right kidney. Fistulography showed a fistula tract connecting the skin and the right pelvicalyceal system and the colon. Computerized tomography demonstrated a renal calculus with a massive fatty proliferation. The patient was planned for right nephrectomy and excision of the sinus tract.
Urology case reports. 2016 Nov 16*** epublish ***
Bambang Soeprijanto, Wahjoe Djatisoesanto, Willy Sandhika
Radiology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia., Urology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia., Pathology Department, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia.