A ureterocutaneous fistula forty years after nephrectomy

The case of a woman presenting with a uretsrocutaneous fistula 40 years aft er nephrectomy is described. Because of advanced respiratory disease and ab sence of infective activity, a conservative line of treatment with saline r inse was given. At 3 months follow-up the fistula had become chronic, with a small opening without signs of infection and ultrasound revealed no absce ss.