Nephrocutaneous fistula has an uncommon incidence and occur usually as a complication of operative procedures on kidneys, renal injuries (penetrating or iatrogenic), renal uroliths, renal tumors and chronic UTI with resultant perirenal abscesses. The most common causes identified are renal calculi and chronic renal tuberculosis. We intend to highlight a case of a woman aged 35years, complaining of watery discharge through the skin in the right lumbar region for the past six months. A fistulogram was done which showed the passage of contrast dye in the collecting system. The patient underwent a simple nephrectomy on the concerned side and recuperated without any complication in the postoperative period.