Pranjal R Modi1, Syed Jamal Rizvi. 1. Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Center, Institute of Transplantation Sciences, Ahmedabad, India. dr_pranjal@yahoo.com
Abstract
AIM: The aim of this paper was to evaluate feasibility of retroperitoneoscopic nephrectomy in a patient with nephrocolonic fistula due to tuberculosis. MATERIALS AND METHODS: A 20-year-old female had presented with high-grade fever. Percutaneous drainage of the kidney for pyonephrosis was performed as an initial drainage procedure. Retrograde pyelography revealed a nephrocolonic fistula. Retroperitoneoscopic nephrectomy with intracorporeal suturing of the defect in the colon was performed. RESULTS: Operative time was 245 minutes and blood loss was 170 mL. Total hospital stay was 7 days. Histopathology of the removed kidney confirmed the diagnosis of tuberculosis. At 1 year of follow-up, she gained 5 kg of body weight after a complete course of antituberculous drugs. CONCLUSION: Retroperitoneoscopic nephrectomy for tuberculous nephrocolonic fistula is feasible and safe.
AIM: The aim of this paper was to evaluate feasibility of retroperitoneoscopic nephrectomy in a patient with nephrocolonic fistula due to tuberculosis. MATERIALS AND METHODS: A 20-year-old female had presented with high-grade fever. Percutaneous drainage of the kidney for pyonephrosis was performed as an initial drainage procedure. Retrograde pyelography revealed a nephrocolonic fistula. Retroperitoneoscopic nephrectomy with intracorporeal suturing of the defect in the colon was performed. RESULTS: Operative time was 245 minutes and blood loss was 170 mL. Total hospital stay was 7 days. Histopathology of the removed kidney confirmed the diagnosis of tuberculosis. At 1 year of follow-up, she gained 5 kg of body weight after a complete course of antituberculous drugs. CONCLUSION: Retroperitoneoscopic nephrectomy for tuberculous nephrocolonic fistula is feasible and safe.