Iatrogenic Ureterocolic Fistula in Pediatric Age Group: A Case Report and Review of the Literature

Ureteral injury is one of the major complications related to colorectal and gynecologic procedures. Injuries are sometimes identified intraoperatively, but the diagnosis of ureteral injury is often delayed. Ureterocolic fistula is a relatively rare con-dition and mostly due to obstructing calculi, diverticular disease of the colon, radiotherapy, cancer, or trauma. Here in, we present a boy with an iatrogenic left ureterocolic fistula following multiple colonic surgeries that were complicated by an un-noticed left ureteric injury. This injury was not diagnosed early and the patient presented later with recurrent UTIs and decreased left differential renal function which necessitated open left nephroureterectomy. UROLOGY 173: e1-e5, 2023. (c) 2023 Elsevier Inc.

Automated summary

Ureteral injury is a common complication of colorectal and gynecologic procedures. Delayed diagnosis is common and can lead to complications such as ureterocolic fistula. Here, we report a case of an iatrogenic left ureterocolic fistula in a boy who underwent multiple colonic surgeries complicated by an unnoticied left ureteric injury. Due to recurrent UTIs and decreased left renal function, the patient eventually required open left nephroureterectomy.