[A renocolic fistula diagnosed by retrograde pyelography].
OBJECTIVE
To describe a case of renocolic fistula diagnosed by retrograde pyelography.


METHODS
A case of renocolic fistula associated with pyonephrosis and left pleural empyema in a 48-year-old female with a history of recurrent pyelonephritis is presented.


RESULTS
The ultrasound findings were suggestive of pyonephrosis and an excretory urogram showed a non-functioning left kidney. Retrograde pyelography showed passage of contrast medium into the descending colon. Surgical treatment consisted of nephrectomy, exteriorization of the compromised colon and pleurotomy. The patient died from septic shock.


CONCLUSIONS
The utility of retrograde pyelography in the diagnosis of renocolic fistula is demonstrated in the case described herein.
Tundidor Bermúdez
A M
AM
Servicio de Urología, Hospital General Docente Guillermo Domínguez, Puerto Padre, Las Tunas, Cuba.
D003106:Colon / Q000000981:diagnostic imaging; D003108:Colonic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D014567:Urography / Q000379:methods*