Published: 2019-08-27

Nephrocutaneous fistula due to textiloma with in the pelvicalyceal system

Soumya Mondal, Amvrin Chatterjee, Souvik Chatterjee, Krishnendu Maiti, Dilip K. R. Pal


Textiloma or gossypiboma is an embarrassing surgical scenario. Nephrocutaneous fistula is itself a rare complication after renal surgeries, but due to textiloma, it is rarest of the rare. In this case, 30-year-old lady presented with the complaints of chronic seropurulent discharge from a wound on her right lumbar region. On exploration it was found to be a retained surgical sponge in pelvicalyceal system, which was there for last seven years.


Gossypiboma, Nephrocutaneous fistula, Textiloma

Full Text:



Sherman S, Limkakeng A. Xanthogranulomatous pyelonephritis with a nephrocutaneous fistula. Jo Emerg Med. 2005;29(3):337-8.

Sharma A, Ahmad Z, Choudhary A, Songra M. Spontaneous nephrocutaneous fistula in tuberculous pyelonephritis: An unusual occurrence. Int J Med Res Health Sci. 2014;3(1):205-7.

Bryniak S. Primary spontaneous renocutaneous fistula. Urology. 1983;21(5):516-7.

Garg M, Marwah S, Sethi D, Kataria S. Acute abdomen by gossypiboma. Ann Trop Med Public Health. 2012;5(5):511.

Pandey S, Aggarwal A, Singh V, Sinha R. Gossypiboma masquerading as nephrocutaneous fistula. BMJ Case Reports. 2018;bcr-2018-225992.

Tanwar R, Rathore KV, Rohilla MK. Nephrocutaneous fistula as the initial manifestation of asymptomatic nephrolithiasis: A call for radical management. Urol Ann. 2015;7(1):94.

Uluçay T, Dizdar MG, SunayYavuz M, Aşırdizer M. The importance of medico-legal evaluation in a case with intraabdominal gossypiboma. Forensic Sci Int. 2010;198(1-3):e15-8.

Lata I, Kapoor D, Sahu S. Gossypiboma, a rare cause of acute abdomen: A case report and review of literature. Int J Crit Illn Inj Sci. 2011;1(2):157.