title: Spino-renal fistula due to gunshot injury.
abstract: A 22-year-old female patient was treated for spino-renal fistula as a result of a high-velocity gunshot injury to her abdomen. The patient presented with meningeal signs, a headache and right monoparesis. A CT scan of her abdomen revealed a leak of contrast from the right kidney into the perirenal space and tracking further into the thecal sac. An MRI scan showed a stable fracture of L3 with slight compression of the thecal sac and features of cord contusion caused by the shockwave of the bullet. To the best of our knowledge a spino-renal fistula of traumatic origin has not previously been reported in the English language literature.
authors.affiliation: Department of Urology, Grey's Hospital, Nelson R Mandela School of Medicine, University of Kwazulu-Natal, Durban, South Africa. drsharef@gmail.com
authors.forename: M M
authors.initials: MM
authors.lastname: Alsharef
authors.forename: N
authors.initials: N
authors.lastname: Christopher
authors.forename: T
authors.initials: T
authors.lastname: Fourie
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006261:Headache / Q000209:etiology; D006801:Humans; D012003:Rectal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult