RENO-COLIC FISTULA FOLLOWING PRIMARY REPAIR OF THE COLON - CASE-REPORT

Reno-colic fistula is a rare entity that to our knowledge has not prev iously been reported as a complication of penetrating abdominal trauma . We report a case of reno-colic fistula complicating primary repair o f a colonic wound from a gunshot to the abdomen. Causes of previously reported reno-colic fistulas include primary renal and colonic patholo gic states involving infectious, malignant, or other inflammatory proc esses. The occurrence of this complication may have been related to th e primary repair of the colon. Although recent reports support primary colonic repair, perhaps renal injuries deserve special consideration when patients are evaluated for primary versus staged repair of penetr ating colon injuries.