Cases reported "Urinary Fistula"

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11/16. Calculocutaneous sinus.

    Extrusion of a urinary calculus is a rare occurrence, and to date only 7 cases have been previously documented. Three patients are described, all of whom had a persistent discharging calculocutaneous sinus as a manifestation of the extruded calculus. The 3 cases had similar features of presentation with a perinephric abscess, a staghorn calculus within a nonfunctioning kidney, and a classic radiologic feature of a portion of calculus clearly distinct from the main bulk of the stone.
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ranking = 1
keywords = calculus
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12/16. The role of an indium leukocyte scan in the diagnosis of a pyeloduodenal fistula associated with spontaneous disappearance of a staghorn calculus.

    The use of a 111indium oxine-leukocyte scan (white cell scan) to establish the diagnosis of a pyeloduodenal fistula is described. The patient had a fistula that was associated with spontaneous disappearance of a large staghorn calculus in the involved kidney. The disappearance of the calculus and the presence of a pyeloduodenal fistula were confirmed at surgical exploration. Although neither an excretory urogram nor a retrograde pyelogram was useful to diagnose the fistula preoperatively a 111indium oxine-leukocyte scan revealed the renal abscess and pyeloduodenal fistula.
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ranking = 1.5
keywords = calculus
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13/16. Nephro colo cutaneous fistula: use of CT scan to aid diagnosis.

    Nephro colo cutaneous fistula is an uncommon complication of calculus disease of the urinary tract. A case is presented in which CT scan was helpful in the diagnosis. The treatment which must be individualized usually consists of nephrectomy and colonic repair via oversewing, exteriorization with secondary closure, or resection with primary anastomosis.
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ranking = 0.25
keywords = calculus
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14/16. Ureterovaginal fistula: an unusual complication of stone fragments after extracorporeal shock wave lithotripsy in situ.

    We report a case of impaction of stone fragments in the lower ureter after extracorporeal shock wave lithotripsy in situ of an upper ureteral calculus resulted in a ureterovaginal fistula. Ureteroscopic retrieval of fragments and stenting provided symptomatic relief. The pathogenesis of this complication, which to our knowledge has not been reported previously, is discussed.
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ranking = 0.25
keywords = calculus
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15/16. Uretero-fallopian fistula: an unusual complication of open ureterolithotomy.

    We report a case of uretero-fallopian fistula, manifesting as complete urinary incontinence, following open ureterolithotomy for a lower ureteral calculus.
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ranking = 0.25
keywords = calculus
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16/16. Spontaneous nephro-duodenal fistula.

    Nephroduodenal fistulas are an uncommon clinical entity characterized by upper abdominal pain and associated with pyelonephritis and renal calculus formation. Most of the recent cases reported are secondary to inflammatory changes in the kidney. Two cases are reported here, one of a nephroduodenal fistula and another of a combined nephroduodenal and nephrocolic fistulae. Carefully monitored X-ray studies determined in both cases the exact site and extent of the fistulae. The optimal treatment is nephrectomy.
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ranking = 0.25
keywords = calculus
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