Pyeloduodenal fistulae. A report of two cases and review of the literature

Desmond, Joel; Evans, S.; Couch, A.H.C.; Morewood, D.J.W.

doi:10.1016/s0009-9260(89)80194-1

Cited by 34 publications

(25 citation statements)

References 15 publications

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“…In fistulas secondary to suppurative processes of the kidney, nephrectomy is the only rational measure, although very difficult for the significant modifications in the anatomical planes and for impaired tissue viability [16,21,23,25], as Fig. 3 A CT scan revealing the presence of fistula tract between the gallbladder and the urinoma confirmed in our own experience.…”

Section: Discussionmentioning

confidence: 59%

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Are Nephroenteric Fistulas Only a Surgical Trouble?

et al. 2014

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Nephroenteric fistulas can be secondary to different etiologies, the most common of which are pyelocolic fistulas. The absence of pathognomonic symptoms and the heterogeneity of presentation can sometimes result in a delay in diagnosis. We report on three cases: a pyelo-duodenal fistula secondary to kidney stones and subsequent pyonephrosis, a pyelocolic fistula due to inveterate ureteral stones with hydropyonephrosis, and a rare case of posttraumatic pyelocolic fistula. All patients were treated with radical nephrectomy and resection of the involved intestinal tract. Fistulas of the kidney with the gastrointestinal tract are complex not only for the surgical treatment, which is mandatory in the majority of cases, but also for clinical and instrumental diagnosis. Severe infection is a major concern due to the admixture of the enteric bacterial flora with the urinary tract. Nephroenteric fistulas require skilled surgical procedures, close control of the septic risk, management of patient's overall medical condition, and balance between invasive and conservative approach.

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Section: Discussionmentioning

confidence: 59%

“…In the first of our clinical cases, the passage of the contrast medium from the flank to the duodenum has been diagnostic. In the aforementioned case by Leemans et al, a cystography was sufficient to show the fistula, while Desmond et al reported a 64 % of diagnosis using retrograde pyelography [23].…”

Section: Discussionmentioning

confidence: 95%

Are Nephroenteric Fistulas Only a Surgical Trouble?

et al. 2014

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“…The most common causes of spontaneous duodenorenal fistula are primary diseases of the kidney, usually chronic perinephrotic inflammation; renal calculi and obstruction (1,5). Resulting perinephritis and possible abscess can lead to erosion of the renal pelvis and duodenum and the fistula occurs.…”

Section: Discussionmentioning

confidence: 99%

Duodenorenal Fistula as a Complication of Radiofrequency Ablation of Hepatic Metastasis of Renal Cell Carcinoma

Erkan¹,

Özer²,

Doğrul³

et al. 2017

jus

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ÖzDuodenorenal fistül nadir görülen bir durumdur. Sağ böbrek ve duodenumun ikinci kısmı anatomik olarak yakın yerleşimlidir. Sık olmasa da bu iki anatomik yapı arasından fistül gelişebilir. Bu çalışmada, renal hücreli karsinom ve karaciğer metastazı nedeniyle radyofrekans ablasyon uygulaması sonrası duodenorenal fistül gelişen bir hasta bildirilmektedir. Anahtar Kelimeler: Renal hücreli karsinom, radyofrekans ablasyon, karaciğer metastazı, duodenorenal fistül Duodenorenal fistula is a rare condition. The right kidney and the second part of the duodenum are in close anatomic proximity. Although unusual, fistulae can occur between these two anatomic structures. We report a patient who presented with duodenorenal fistula after radiofrequency ablation for renal cell carcinoma and its hepatic metastasis.

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“…The first report was published in 1839 [1], and Idesako et al [2] reviewed 18 cases of pyeloduodenal fistula in 2007. In those reports, 82% of the patients were female and their mean age was 54.3 years [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Besides migrating ingested foreign bodies, neoplasms and iatrogenic surgical trauma, especially that related to percutaneous nephrolithotripsy and PNS, have been associated with an increasing number of such fistulas [5,[7][8][9]. Only 1 case of a fistula between the right ureter and the duodenum secondary to a duodenal ulcer has been reported [10].…”

Section: Discussionmentioning

confidence: 99%