Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2012  |  Volume : 5  |  Issue : 3  |  Page : 253-255

Spontaneous reno-jejuno-cutaneous fistula with stone: An unusual presentation of genito-urinary tuberculosis


Department of Urology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, India

Correspondence Address:
Punit Tiwari
Department of Urology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, 244, Acharya Jagadish Chandra Bose Road, Police Station, Bhowanipore, Kolkata-700 020, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.98631

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We are reporting an unusual case of spontaneous reno-jejuno-cuteneous fistula with staghorn calculus. A 19-year-old female presented with pus discharging sinus in the left lumbar and gluteal region. Fistulography and computed tomography showed nonfunctioning kidney and fistula involving left kidney and jejunal loops. The patient was successfully treated by nephrectomy and excision of fistulous tract followed by antituberculous therapy. Histopathology revealed features of renal tuberculosis. To the best of our knowledge our case is the first case reported having reno-jejunal fistula because of tuberculosis and having cuteneous extension in the lumbar as well as gluteal region.


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