Uretero-duodenal fistula: Risk factors and management

Makary, Joshua; Galloway, Peter; Mancuso, Pascal

doi:10.1016/j.eucr.2021.101969

Urology Case Reports

2022

DOI: 10.1016/j.eucr.2021.101969

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Uretero-duodenal fistula: Risk factors and management

Joshua Makary

Peter Galloway

Pascal Mancuso

Abstract: In this case report we explore the clinical journey of a 66-year-old female patient that developed a uretero-duodenal fistula. This urological complication is extremely rare and to our knowledge, this is only the third female described in the literature with this finding. We discuss the risk factors associated with uretero-duodenal fistula and its management in the acute setting.

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2024

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Cited by 3 publications

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Surgical correction of multiple renoduodenal fistulas due to chronic pyelonephritis: a case report and literature review

Jones,

Braden,

Hillyer

2024

Journal of Surgical Case Reports

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Renoduodenal fistulas are a rare and uncommon phenomenon that account for ˂1% of those found between the urinary and intestinal tracts. Precipitation of this pathologic tract can be caused by chronic inflammation, necrosis, or ischemia. This case illustrates a 72-year-old man presenting with flank pain discovered to have multiple renoduodenal fistulas and our approach that led to the resolution of his symptoms. We review the pathophysiology, management, and effects of these fistulous tracts on renal function. Patients with staghorn calculi should undergo immediate evaluation for removal of the stone. In cases complicated by fistula formation, need for radical nephrectomy should be investigated and surgical repair should be pursued.

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Surgical correction of multiple renoduodenal fistulas due to chronic pyelonephritis: a case report and literature review

Jones,

Braden,

Hillyer

2024

Journal of Surgical Case Reports

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Ureteroduodenal Fistula From an Impacted Ureteral Stone

Schott,

Su,

Morgan

2024

JU Open Plus

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Histomorphological Study of Nephrectomy Specimens with Assessment of Prognostic Parameters in Renal Cell Carcinoma

Padmanaban,

Balasubramanian

2024

Journal of the Scientific Society

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Background: Kidney is a major organ that is affected by vast spectrum of non-neoplastic (NN) and neoplastic lesions. Simple nephrectomy is done for nonfunctioning kidneys in inflammatory/ benign disorders, radical / partial nephrectomy is done for neoplasms. Aims: This study aims to study the different histomorphological features observed in nephrectomy specimens and to assess the significance of prognostic parameters in the evaluation of renal cancers. Materials and Methods: This is a retrospective study that includes 71 nephrectomy specimens received in our department. Results: Among the 71 nephrectomy specimens 57.7% were NN lesions. Chronic pyelonephritis and Clear cell type of renal cell carcinoma (RCC) were the commonest NN and neoplastic lesions respectively. Majority of RCCs were histologically grade 2 (50%). A significant correlation was found between tumor size and grade, tumor size and renal sinus invasion (RSI) and RSI was frequently seen in higher grade RCCs. However, a larger sample size is needed to generalize these results. Conclusion: With early interventions of NN lesions and detecting RCC in early stages the need for surgical management and radical procedures can be brought down to spare this vital organ.

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Uretero-duodenal fistula: Risk factors and management

Cited by 3 publications

References 5 publications

Surgical correction of multiple renoduodenal fistulas due to chronic pyelonephritis: a case report and literature review

Surgical correction of multiple renoduodenal fistulas due to chronic pyelonephritis: a case report and literature review

Ureteroduodenal Fistula From an Impacted Ureteral Stone

Histomorphological Study of Nephrectomy Specimens with Assessment of Prognostic Parameters in Renal Cell Carcinoma

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