EURORAD ESR

Case 15065

Spontaneous Reno-colic Fistula As Initial Presentation Of Renal Cell Carcinoma

Author(s)
Dr. Anuradha. Rao1, Dr. Divya Lakshmi2, Dr. Raghuram.P3

(1) Assistant Professor, Department of Radiology
(2) Senior Resident, Department of Radiology
(3) Professor, Department of Radiology
Department of Radiology,
Kidwai Memorial Institute of Oncology,
Bangalore, India.
 
Patient
male, 62 year(s)
 
 
  • Figure 1
    Radiograph of abdomen

    Radiograph showing air lucencies in the right lumbar region at the lower pole of the right renal shadow.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT abdomen

    Contrast enhanced CT axial section at the level of right renal lower pole with air lucencies. Fistulous communication with the ascending colon can be seen (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 3
    CT abdomen

    Contrast enhanced CT axial section at the level of right renal lower pole with air lucencies. Fistulous communication with the ascending colon can be seen (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 4
    CT - Bone window

    Axial CT section in bone window: A lytic lesion is seen in the lumbar vertebral body suggestive of metastasis (star). Air in the renal mass is seen (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
Radiograph showing air lucencies in the right lumbar region at the lower pole of the right renal shadow.
 
Contrast enhanced CT axial section at the level of right renal lower pole with air lucencies. Fistulous communication with the ascending colon can be seen (arrow).
 
Contrast enhanced CT axial section at the level of right renal lower pole with air lucencies. Fistulous communication with the ascending colon can be seen (arrow).
 
Axial CT section in bone window: A lytic lesion is seen in the lumbar vertebral body suggestive of metastasis (star). Air in the renal mass is seen (arrow).
 
 
 
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