DOI: 10.36347/sjmcr.2023.v11i05.051

Pages: 947-949

In this case report, a 65 year old man presented with complaints of pain and swelling in left flank region referred to Department of Radiodiagnosis, Sri Aurobindo Hospital, Indore (M.P) for CT Abdomen. The chest x-ray film showed left pleural effusion. An abdominal ultrasound was done which demonstrated enlarged hydronephrotic left kidney with internal echoes within. Computed tomography was done, which revealed a fistulous tract between large bowel and left kidney at the level of splenic flexure, evident by rectal contrast entering the left renal pelvicalyceal system. There was no dilatation of ureter suggesting long standing PUJ obstruction. On the basis of the radiological studies a diagnosis of renocolic fistula was made.