Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report
<p>Abstract</p> <p>Introduction</p> <p>Colorenal fistula is a rare phenomenon and may complicate percutaneous cryoablation of renal cell carcinoma. Treatment remains controversial.</p> <p>Case presentation</p> <p>A 62-year-old Caucasian man prese...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-10-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://www.jmedicalcasereports.com/content/6/1/365 |
| _version_ | 1818483655013564416 |
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| author | Morgan Amir IS Doble Andrew Davies R Justin |
| author_facet | Morgan Amir IS Doble Andrew Davies R Justin |
| author_sort | Morgan Amir IS |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Colorenal fistula is a rare phenomenon and may complicate percutaneous cryoablation of renal cell carcinoma. Treatment remains controversial.</p> <p>Case presentation</p> <p>A 62-year-old Caucasian man presented with pneumaturia and left flank pain six weeks following ultrasound-guided percutaneous cryoablation of two recurrent lesions in the left kidney 14 years after partial left nephrectomy for a left renal cell carcinoma. A computed tomography scan eight weeks after cryoablation revealed a cryoablated mass with adjacent stranding and adherent descending colon as well as bubbles of gas in the area of stranding, the left collecting system, and the bladder. These features were consistent with a colorenal fistula at the site of previous ablation. Successful resolution of the fistula, both clinical and radiological, was achieved following a complete conservative non-interventional out-patient approach. No ureteric stent or surgical intervention was employed.</p> <p>Conclusions</p> <p>In the absence of severe symptoms or sepsis, complete conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors should be considered prior to interventional stenting or resectional surgery.</p> |
| first_indexed | 2024-12-10T15:44:46Z |
| format | Article |
| id | doaj.art-42234ca0283f42fdb7769c9e1e13aaaf |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-10T15:44:46Z |
| publishDate | 2012-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-42234ca0283f42fdb7769c9e1e13aaaf2022-12-22T01:42:59ZengBMCJournal of Medical Case Reports1752-19472012-10-016136510.1186/1752-1947-6-365Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case reportMorgan Amir ISDoble AndrewDavies R Justin<p>Abstract</p> <p>Introduction</p> <p>Colorenal fistula is a rare phenomenon and may complicate percutaneous cryoablation of renal cell carcinoma. Treatment remains controversial.</p> <p>Case presentation</p> <p>A 62-year-old Caucasian man presented with pneumaturia and left flank pain six weeks following ultrasound-guided percutaneous cryoablation of two recurrent lesions in the left kidney 14 years after partial left nephrectomy for a left renal cell carcinoma. A computed tomography scan eight weeks after cryoablation revealed a cryoablated mass with adjacent stranding and adherent descending colon as well as bubbles of gas in the area of stranding, the left collecting system, and the bladder. These features were consistent with a colorenal fistula at the site of previous ablation. Successful resolution of the fistula, both clinical and radiological, was achieved following a complete conservative non-interventional out-patient approach. No ureteric stent or surgical intervention was employed.</p> <p>Conclusions</p> <p>In the absence of severe symptoms or sepsis, complete conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors should be considered prior to interventional stenting or resectional surgery.</p>http://www.jmedicalcasereports.com/content/6/1/365Colorenal fistulaCryoablationRenal cell carcinoma |
| spellingShingle | Morgan Amir IS Doble Andrew Davies R Justin Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report Journal of Medical Case Reports Colorenal fistula Cryoablation Renal cell carcinoma |
| title | Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report |
| title_full | Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report |
| title_fullStr | Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report |
| title_full_unstemmed | Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report |
| title_short | Successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors: a case report |
| title_sort | successful conservative management of a colorenal fistula complicating percutaneous cryoablation of renal tumors a case report |
| topic | Colorenal fistula Cryoablation Renal cell carcinoma |
| url | http://www.jmedicalcasereports.com/content/6/1/365 |
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