[Colorenal fistula complicating renal tuberculosis: a case report].
Fistule réno-colique compliquant une tuberculose rénale: à propos d’un cas.
Colorenal fistulas
case report
nephrectomy
tuberculosis
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2021
2021
Historique:
received:
25
06
2021
accepted:
05
08
2021
entrez:
15
12
2021
pubmed:
16
12
2021
medline:
18
12
2021
Statut:
epublish
Résumé
Urogenital tuberculosis is little suspected and known by clinicians. Colorenal fistulas, although rare, are complex forms of renal tuberculosis occurring in patients with advanced-stage disease. They generally occur in the ascending and descending colon. We here report the clinical case of a 58-year-old female patient presenting to the Emergency Department with severe acute left pyelonephritis. Abdominal CT scan objectified left pyonephrosis with left colorenal fistula. The patient had poor clinical, biological outcome despite resuscitation measures and antibiotic treatments. Urgent left nephrectomy was performed with disconnection and drainage of colorenal fistula. Histology showed renal tuberculosis. The patient received antibacillary drugs according to 2ERHZ/4RH guidelines. The treatment of this type of TB should be adequate to avoid recurrences that could be more complicated to manage.
Identifiants
pubmed: 34909079
doi: 10.11604/pamj.2021.40.91.30518
pii: PAMJ-40-91
pmc: PMC8607944
doi:
Types de publication
Case Reports
Langues
fre
Sous-ensembles de citation
IM
Pagination
91Informations de copyright
Copyright: Ramzi Mejri et al.
Déclaration de conflit d'intérêts
Les auteurs ne déclarent aucun conflit d´intérêts.
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