[Uretero-colonic fistula in non-functioning ureter].
OBJECTIVE
To present a case of ureterocolonic fistula secondary to acute sigmoid diverticulitis in a nonfunctioning ureter due to a previous nephrectomy.


RESULTS
A 68-year-old patient that had undergone nephrectomy due to xanthogranulomatous pyelonephritis two years earlier, consulted for long-standing non-specific abdominal pain. Radiological evaluation showed a pneumogram pattern in the ureteral stump associated to a pelvic mass. The patient underwent surgery for a suspected uretero-intestinal fistula. The intraoperative findings and anatomopathological study demonstrated a uretero-sigmoid fistula due to diverticular disease of colon.


CONCLUSIONS
Uretero-intestinal fistulas present unimportant clinical features. Radiological assessment and a clinical suspicion are important to diagnosis.
Conde Santos
G
G
Servicio y Cátedra de Urología, Hospital del Mar, Universidad Autónoma de Barcelona, Barcelona, España. 92583@imas.imim.es
Griñó Garreta
J
J
Bielsa Gali
O
O
Arango Toro
O
O
Gelabert-Mas
A
A
D000368:Aged; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D014515:Ureteral Diseases / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery