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  • Title: [Uretero-colonic fistula in non-functioning ureter].
    Author: Conde Santos G, Griñó Garreta J, Bielsa Gali O, Arango Toro O, Gelabert-Mas A.
    Journal: Arch Esp Urol; 2001 Dec; 54(10):1126-9. PubMed ID: 11852523.
    Abstract:
    OBJECTIVE: To present a case of ureterocolonic fistula secondary to acute sigmoid diverticulitis in a nonfunctioning ureter due to a previous nephrectomy. METHODS/RESULTS: A 68-year-old patient that had undergone nephrectomy due to xanthogranulomatous pyelonephritis two years earlier, consulted for long-standing non-specific abdominal pain. Radiological evaluation showed a pneumogram pattern in the ureteral stump associated to a pelvic mass. The patient underwent surgery for a suspected uretero-intestinal fistula. The intraoperative findings and anatomopathological study demonstrated a uretero-sigmoid fistula due to diverticular disease of colon. CONCLUSIONS: Uretero-intestinal fistulas present unimportant clinical features. Radiological assessment and a clinical suspicion are important to diagnosis.
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