Case ReportLaparoscopic approach to colo-renal fistula with renal preservation and omentoplasty: A case report

- Percutaneous ablation is being increasingly used to treat renal masses.
- A colo-renal fistula can result as a potential complication.
- Initial treatment should focus on conservative management involving antibiotics and ureteral stent placement.
- If failed, fistula can be resected laparoscopically safely without the need for nephrectomy.

Colorenal fistula as a result of percutaneous cryoablation has not been extensively reported. We report a gentleman who presented with urosepsis after percutaneous biopsy of a renal mass complicated by colorenal fistula. After failed attempts at conservative management, he underwent laparoscopic resection of his fistula with renal salvage and omentoplasty highlighting that nephrectomy is not always indicated.