PMC4435279_01
CT scan showing air around the left kidney with severe inflammation and scar formation between left kidney and descending colon.
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F1
CT scan showed a fluid collection around the left kidney with extensive scar formation, thickening of left Gerota's fascia, moderate pericolonic edema/inflammation, and air in the urinary bladder (Figure 1). Colonoscopy revealed a fistulous tract opening in the descending colon 45 cm from the anal verge (Figure 2 and Figure 3).
Fistula opening in descending colon 45 cm from anal verge.
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F2
CT scan showed a fluid collection around the left kidney with extensive scar formation, thickening of left Gerota's fascia, moderate pericolonic edema/inflammation, and air in the urinary bladder (Figure 1). Colonoscopy revealed a fistulous tract opening in the descending colon 45 cm from the anal verge (Figure 2 and Figure 3).
Fistula opening.
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F3
CT scan showed a fluid collection around the left kidney with extensive scar formation, thickening of left Gerota's fascia, moderate pericolonic edema/inflammation, and air in the urinary bladder (Figure 1). Colonoscopy revealed a fistulous tract opening in the descending colon 45 cm from the anal verge (Figure 2 and Figure 3).
Retrograde pyelogram.
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F4
A retrograde pyelogram showed contrast extravasation from the middle calyx of the left kidney into the colonic system; a ureteral stent was then placed (Figure 4).
Post-surgery CT scan showing resolution of fistulous tract.
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F5