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Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management
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Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management
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Journal Article
Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management
2015
Overview
Renal stones are a common affliction presenting in an acute setting. We report a case of asymptomatic renal stone in an elderly gentleman presenting initially as a discharging lumbar sinus managed by subcapsular nephrectomy and radical excision of the fistula tract. Nephrocutaneous fistula is most commonly associated with tuberculosis, xanthogranulomatous pyelonephritis, and rarely with complicated calyceal stones, and its occurrence with asymptomatic pelvic stones is rare. We present the points in favor of radical open surgery in the management of such patients.
Publisher
Medknow Publications and Media Pvt. Ltd,Medknow Publications & Media Pvt. Ltd,Medknow Publications & Media Pvt Ltd,Wolters Kluwer Medknow Publications
Subject
