PMC4310129_01
External appearance of the lumbar sinus
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F1
Examination revealed a single wound on the left lumbar region [Figure 1] associated with mucoid discharge.
Sinogram revealing extensive nephrocutaneous fistula
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F2
A sinogram was performed using 60% urograffin which revealed a complex fistula communicating with the left pelvicalyceal system [Figure 2].
Intraoperative picture depicting the extent of radical dissection
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F3
A subcapsular nephrectomy was performed along with radical excision of the sinus tract, most of which was located in the subcutaneous plane [Figures 3 and 4].
Postoperative specimen showing the kidney and the excised fistula
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F4
A subcapsular nephrectomy was performed along with radical excision of the sinus tract, most of which was located in the subcutaneous plane [Figures 3 and 4].