title: Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management.
abstract: Renal stones are a common affliction presenting in an acute setting. We report a case of asymptomatic renal stone in an elderly gentleman presenting initially as a discharging lumbar sinus managed by subcapsular nephrectomy and radical excision of the fistula tract. Nephrocutaneous fistula is most commonly associated with tuberculosis, xanthogranulomatous pyelonephritis, and rarely with complicated calyceal stones, and its occurrence with asymptomatic pelvic stones is rare. We present the points in favor of radical open surgery in the management of such patients.
authors: Department of General Surgery, Jawahar Lal Nehru Medical College and Associated Hospitals, Ajmer, Rajasthan, India.
authors: Raman
authors: R
authors: Tanwar
authors: Department of Pathology, Jawahar Lal Nehru Medical College and Associated Hospitals, Ajmer, Rajasthan, India.
authors: Kirti Vijay
authors: KV
authors: Rathore
authors: Department of General Surgery, Jawahar Lal Nehru Medical College and Associated Hospitals, Ajmer, Rajasthan, India.
authors: Mahesh Kumar
authors: MK
authors: Rohilla
keywords: Chronic pyelonephritis; nephrectomy; nephrocutaneous fistula; nephrolithiasis
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