Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula

We describe the case of a 76-year-old woman with a spontaneous nephroduodenal fistula. The patient was initially evaluated for gastrointestinal and urinary symptoms associated with fever and anemia, after which she was admitted with the diagnosis of right chronic pyelonephritis, hydronephrosis, and...

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Bibliographic Details
Published in:Digestive diseases and sciences 2023-04, Vol.68 (4), p.1106-1111
Main Authors: Gentile, Patrizia Alba, Gualtieri, Loredana, Izzo, Silvia, Luka, Klaudia, Lauro, Augusto, Salvati, Bruno
Format: Article
Language:English
Subjects:
Abdomen
Aged
Anemia
Biochemistry
Dds–Sirc Cooperative Conferences
Duodenal Diseases - complications
Duodenal Diseases - diagnostic imaging
Duodenal Diseases - surgery
Duodenum - diagnostic imaging
Female
Fistula
Gastroenterology
Hepatology
Humans
Hydronephrosis
Intestinal Fistula - diagnostic imaging
Intestinal Fistula - etiology
Intestinal Fistula - surgery
Kidney stones
Medical imaging
Medicine
Medicine & Public Health
Nephrectomy
Oncology
Small intestine
Surgery
Transplant Surgery
Urinary Fistula - complications
Urinary Fistula - diagnostic imaging
Urinary Fistula - surgery
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Summary:We describe the case of a 76-year-old woman with a spontaneous nephroduodenal fistula. The patient was initially evaluated for gastrointestinal and urinary symptoms associated with fever and anemia, after which she was admitted with the diagnosis of right chronic pyelonephritis, hydronephrosis, and renal lithiasis. The fistula was diagnosed incidentally by percutaneous pyelography during a right nephrostomy and was later confirmed with an abdominal CT scan. A multidisciplinary decision was made to surgically treat the fistula (right nephrectomy plus duodenal repair); the surgery had a short-term positive outcome. We report a systematic review of the literature related to spontaneous pyeloduodenal fistulæ and their treatments.
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-023-07828-1