Pyeloduodenocolic fistula

Asian J Surg. 2003 Jul;26(3):186-8. doi: 10.1016/S1015-9584(09)60382-1.

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.

Publication types

  • Case Reports

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