Abstract
A 75-year-old man presented with epigastric pain and melaena. Multiple right renal stones were seen on abdominal X-ray. Computed tomography of the abdomen and oesophagogastroduodenoscopy revealed features of a pyeloduodenal fistula. Elective surgery was planned but the patient developed torrential bleeding with shock. Emergency laparotomy revealed a necrotic right kidney with a pyeloduodenocolic fistula. This report is the first of a pyeloduodenocolic fistula caused by squamous cell carcinoma of the renal pelvis. We review the literature and discuss the aetiologies, clinical presentations, diagnosis, and treatment of pyeloduodenal fistula.
MeSH terms
-
Abdominal Pain / diagnosis
-
Abdominal Pain / etiology
-
Aged
-
Carcinoma, Squamous Cell / complications
-
Carcinoma, Squamous Cell / diagnosis*
-
Carcinoma, Squamous Cell / surgery
-
Duodenal Diseases / complications
-
Duodenal Diseases / diagnosis*
-
Duodenal Diseases / surgery
-
Fatal Outcome
-
Follow-Up Studies
-
Humans
-
Intestinal Fistula / complications
-
Intestinal Fistula / diagnosis*
-
Intestinal Fistula / surgery
-
Kidney Calculi / complications
-
Kidney Calculi / diagnosis*
-
Kidney Calculi / surgery
-
Kidney Neoplasms / complications
-
Kidney Neoplasms / diagnosis*
-
Kidney Neoplasms / surgery
-
Kidney Pelvis / diagnostic imaging
-
Kidney Pelvis / physiopathology
-
Laparotomy / methods
-
Male
-
Risk Assessment
-
Tomography, X-Ray Computed
-
Urinary Fistula / complications
-
Urinary Fistula / diagnosis*
-
Urinary Fistula / surgery