AI Summary & Key Takeaways
AI InsightThe patient was diagnosed with reno-gastric fistula and renal calculi were treated after nephrostomy catheter was placed in the kidney and bowel rest was applied.
📌 3 Key Takeaways
Abstract
Fistulas between the urinary tract and gastrointestinal tract are rarely seen. Reno-gastric fistula cases may occur secondary to penetrating trauma, iatrogenically, complicated kidney stones and infective processes. The left kidney is almost always affected because of the position of the stomach. In this case report, we present a 63-year-old female patient who was recommended for surgery for kidney stones but did not undergo surgery due to the COVID-19 pandemic and presented with pyelonephritis symptoms. The patient was diagnosed with reno-gastric fistula and renal calculi were treated after nephrostomy catheter was placed in the kidney and bowel rest was applied.
Özet
Üriner sistem ile gastrointestinal sistem arasında fistüller nadiren görülmektedir. Reno-gastrik fistül olguları genellikle penetran travmaya sekonder, iyatrojenik olarak, komplike böbrek taşlarına ve enfektif süreçlere bağlı olarak oluşabilmektedir. Midenin pozisyonu nedeniyle hemen her zaman sol böbrek etkilenmektedir. Bu olgu sunumunda, böbrek taşı nedeniyle ameliyat önerilen fakat COVID-19 salgını nedeniyle ameliyat olmayan ve pyelonefrit bulguları ile başvuran 63 yaş kadın hastayı sunduk. Hastaya reno-gastrik fistül tanısı konuldu ve böbreğe nefrostomi katateri takılarak barsak istirahati uygulanmasının ardından böbrek taşı tedavi edildi.