Spontaneous uretero-sigmoid fistula secondary to calculus

  • Ines Marzouk MEDICAL SCHOOL OF TUNIS, university of MANAR
  • Makram Moussa MEDICAL SCHOOL OF TUNIS, university of MANAR
  • Lotfi Saadallah Bougatfa hospital Bizerta
  • Sami Bouchoucha MEDICAL SCHOOL OF TUNIS, university of MANAR
  • Lotfi Hendaoui MEDICAL SCHOOL OF TUNIS, university of MANAR

Abstract

A 25-year-old man was referred to the urology department after a subacute history of left back pain, burning micturition associated with pneumaturia and fecaluria. Ultrasonography was performed showing hydronephrosis, and plain film radiography demonstrated a long vertical left pelvic calculi. Uro-computed tomography (CT) combined with a water enema CT showed a 10 cm long calculus with the cranial extremity fistulating the sigmoidal wall. Surgical treatment included left nephroureterectomy and sigmoidectomy with a colorectal anastomosis. Postoperative course was uneventful.

Author Biographies

Ines Marzouk, MEDICAL SCHOOL OF TUNIS, university of MANAR
department of radiology mongi Slim hospital la marsa 1
Makram Moussa, MEDICAL SCHOOL OF TUNIS, university of MANAR
department of surgery, Bougatfa Hospital Bizerta 2
Lotfi Saadallah, Bougatfa hospital Bizerta
urology department Bougatfa hospital Bizerta 3
Sami Bouchoucha, MEDICAL SCHOOL OF TUNIS, university of MANAR
department of surgery, Bougatfa Hospital Bizerta 4
Lotfi Hendaoui, MEDICAL SCHOOL OF TUNIS, university of MANAR
department of radiology mongi Slim hospital la marsa 6
Published
2016-11-10
How to Cite
Marzouk, I., Moussa, M., Saadallah, L., Bouchoucha, S., & Hendaoui, L. (2016). Spontaneous uretero-sigmoid fistula secondary to calculus. Canadian Urological Association Journal, 10(11-12), E401-3. https://doi.org/10.5489/cuaj.3402
Section
Case Report