Spontaneous Skin Fistula of the Lumbar Area - Case Report

• Autorzy: Krystyn Sosada , Ireneusz Mazur , Piotr Rudnicki
• Języki publikacji: EN

Abstrakty

EN

Cutaneous fistulas of the lumbar area are rarely diagnosed. The presented case concerned a 46-year old female patient who underwent surgical treatment in 2008, at the Department of General and Bariatric Surgery, and Emergency Medicine. After twelve months of ineffective conservative therapy of a purulent cutaneous fistula the patient was directed to the Department of Surgery for radical excision of the lesion. After performing additional diagnostic examinations the patient underwent planned surgery, including the complete excision of the fistula canal, which had no contact with the peritoneal cavity. Numerous deposits were observed in the lumen of the fistula. Chemical analysis of the abovementioned demonstrated a 100% content of calcium oxalate, characteristic of urolithiasis. The patient was discharged from the hospital on the eighth day after the operation in good general condition, and with a properly healing wound. Both patient history and examination were unable to definitely determine the cause of the fistula.

Słowa kluczowe

EN

cutaneous fistula; urolithiasis

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 4
• Strony: 230-232

Daty

wydano

2010-04-01

online

2010-09-15

Twórcy

autor

Krystyn Sosada

• Department of General and Bariatric Surgery and Emergency Medicine, Specialistic Hospital, Zabrze

autor

Ireneusz Mazur

• Department of General and Bariatric Surgery and Emergency Medicine, Specialistic Hospital, Zabrze

autor

Piotr Rudnicki

• Department of General and Bariatric Surgery and Emergency Medicine, Specialistic Hospital, Zabrze

Bibliografia

• Bryniak SR Primary spontaneous renocutaneous fistula. Urol 1983; 21: 516-17.[PubMed]
• Hitter E, Mahler C, Keuppens F et al.: Asymptomatic nephrocutaneous fistula. A report of 2 cases. J Urol 1988; 139: 1290-92.
• Grases F, Costa Bauza A, March JG et al.: Glycosa-minoglycans, uric acid and calcium oxalate urolithiasis. Urol Res 1991; 19: 375-80.[Crossref]
• Trzaska Durski Z, Trzaska Durska H, Kuzaka B Rentgenostukturalna analiza fazowa kamieni moczowych. Wyniki badań kamieni zawierających kwas moczowy, moczany i L-cystynę. Pol Tyg Lek 1994; 49: 144-46.
• Safronow K, Machoy P Kwas moczowy jako składnik kamieni szczawianowo-wapniowych: implikacje diagnostyczne i terapeutyczne. Urol Pol 2002; 55: 3.
• Koizumi J, Noguchi H Pseudomyxoma retroperitonei with spontaneous fistula. Abdom Imaging 1999; 24: 193-95.[Crossref][PubMed]
• Cakmak A, Karakayali F, Bayar S et al.: Pseudomyxoma retroperitonei presenting with a skin fistula. Turk J Gastroenterol. 2009; 20(1): 79-80.
• Nakao A, Sato S, Nakashima et al.: Appendiceal mucocele of mucinous cystadenocarcinoma with a cutaneous fistula. J Int Med Res 2002; 30: 452-56.[Crossref]

Identyfikatory

DOI

10.2478/v10035-010-0032-y