Abstract
The aim of this paper was to evaluate feasibility of retroperitoneoscopic nephrectomy in a patient with nephrocolonic fistula due to tuberculosis. A 20-year-old female had presented with high-grade fever. Percutaneous drainage of the kidney for pyonephrosis was performed as an initial drainage procedure. Retrograde pyelography revealed a nephrocolonic fistula. Retroperitoneoscopic nephrectomy with intracorporeal suturing of the defect in the colon was performed. Operative time was 245 minutes and blood loss was 170 mL. Total hospital stay was 7 days. Histopathology of the removed kidney confirmed the diagnosis of tuberculosis. At 1 year of follow-up, she gained 5 kg of body weight after a complete course of antituberculous drugs. Retroperitoneoscopic nephrectomy for tuberculous nephrocolonic fistula is feasible and safe.
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