Spontaneous nephrocutaneous fistula--2 unusual case reports with review of literature.
We report two unusual cases of spontaneous nephrocutaneous fistulas. They were discovered to be the cases of neglected calculous disease in a poorly functioning kidney and tuberculous pyelonephritis respectively. A timely nephrectomy cured their debilitating condition and prevented further morbidity. We have discussed the etio-pathogenesis, clinical and diagnostic approach towards the cases of nephrocutaneous fistula. The literature regarding nephrocutaneous fistula has been reviewed and discussed. A stepwise algorithm has been proposed to manage cases of nephrocutaneous fistulas.
Ansari
M S
MS
Department of Urology, All India Institute of Medical Sciences, New Delhi-29, India. ansarimsa@hotmail.com
Singh
Iqbal
I
Dogra
P N
PN
D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014548:Urinary Fistula / Q000175:diagnosis* / Q000209:etiology