Top

African Journal of Urology

Published in:

Open Access 01-12-2021 | Nephrectomy | Case Reports

Renal cell carcinoma with renocolic fistula presenting as an emphysematous pyelonephritis in a non-functioning kidney: case report

Authors: Manharsinh Rajput, Phanindra Mohan Deka, Sharwan Kumar Singhania

Published in: African Journal of Urology | Issue 1/2021

Abstract

Background

The uniqueness of this case is in its rarity and divergent presentation.

Case presentation

Here, we report a case of 56-year-old male patient with pain in the left flank for 1 year. On evaluation, patient was diagnosed with multiple left renal calculi and emphysematous pyelonephritis with non-functioning kidney. Intraoperatively, dense perinephric adhesions, necrotic kidney and renocolic fistula were encountered. The patient underwent left nephrectomy with resection anastomosis of descending colon segment with loop ileostomy. Histopathological examination showed a poorly differentiated high-grade clear cell carcinoma with squamous metaplasia.

Conclusion

Renal cell carcinoma can present in unusual ways. Sometimes, it can mimic emphysematous pyelonephritis because of fistulous communication with gut. It is rare but challenging for urologists to diagnose and manage such cases.

Tsai TH, Tang SH, Chuang FP, Wu ST, Sun GH, Yu DS, Chang SY, Cha TL (2009) Ipsilateral synchronous neoplasms of kidney presenting as acute pyelonephritis and bladder metastasis. Urology 73(1163):e9-1163.e11

Khalid S, Zaheer S, Zaheer S, Ahmad I, Khalid M (2013) Xanthogranulomatous pyelonephritis: rare presentation of a rare disease. South Asian J Cancer

Arthur GW, Morris DG (1966) Reno-alimentary fistulae. Br J Surg 53:396–402CrossRef

Blatstein LM, Ginsberg PC (1996) Spontaneous renocolic fistula: a rare occurrence associated with renal cell carcinoma. J Am Osteopath Assoc 96(1):57–59PubMed

Tam E, Neculiseanu E, Sidhu G (2020) Refractory Renal cell cancer with gastro-renal fistula: a rare complication. Cureus 12(1)

Desmond JM, Evans SE, Couch A et al (1989) Pyeloduodenal fistulae: a report of two cases and review of the literature. Clin Radiol 40(3):267–270CrossRef

Lang EK, Fritzche P (1990) Fistulas of the genitourinary tract—clinical urography: an atlas and textbook of urologic imaging, Saunders, Philadelphia, pp 2579–83

Title: Renal cell carcinoma with renocolic fistula presenting as an emphysematous pyelonephritis in a non-functioning kidney: case report
Authors: Manharsinh Rajput
Phanindra Mohan Deka
Sharwan Kumar Singhania
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Nephrectomy
Kidney Cancer
Kidney Cancer
Pyelonephritis
Urography
Nephrectomy
Ileostomy
Kidney Cancer
Nephrectomy
Pyelonephritis
Published in: African Journal of Urology / Issue 1/2021
Print ISSN: 1110-5704
Electronic ISSN: 1961-9987
DOI: https://doi.org/10.1186/s12301-021-00190-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Renal cell carcinoma with renocolic fistula presenting as an emphysematous pyelonephritis in a non-functioning kidney: case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2021

Isolated renal hydatid cyst misdiagnosed and treated as a cystic renal tumor: a diagnostic pitfall

Atypical presentation of testicular torsion: a case series

Self-inflicted gunshot injury to the external genitalia: a case report and review of literature

Bilateral extra-adrenal perirenal myelolipomas: a case report

Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report

Study of factors influencing the encrustation of indwelling catheters: prospective case series