Renoduodenal Fistula in a Patient with Chronic Nephrostomy Drainage: A Case Report

Morris, Donald B.; Siegelbaum, Marc H.; Pollack, Howard; Kendall, A. Richard; Gerber, Walter L.

doi:10.1016/s0022-5347(17)37935-1

Cited by 16 publications

(6 citation statements)

References 17 publications

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“…Almost 65% of spontaneous renal fistulas occur secondary to nephrolithiasis which can cause chronic pyelonephritis and obstruction of urine flow and propagate to perinephric inflammation. It is believed that inflammation, urinary extravasation, abscess formation, and perinephric inflammation are main pathophysiologic mechanisms of non-traumatically caused PDF (1). The posterior aspect of the second portion of the duodenum lies in close proximity to the medial portion of the kidney and renal pelvis.…”

Section: Discussionmentioning

confidence: 99%

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Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report

et al. 2014

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A 74-yr-old woman presented with fever and abdominal discomfort. She was in a septic condition caused by urinary tract infection. Her computed tomogram of the abdomen revealed features of hydronephrosis with ureteral stones in both kidneys. During percutaneous nephrostomies, right pyeloduodenal fistula (PDF) was diagnosed. Elective surgery was originally planned but the patient was in a poor condition to undergo surgery. Instead, 2 times endoscopic clipping and ligation by endoloop were applied with parenteral antibiotics for the fistula lesion. On admission day 30, she was discharged from the hospital after confirmation of no more contrast leakage on fistulography. We reviewed the literature and discuss the etiologies, clinical presentations, diagnosis, and treatment of PDF.

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Section: Discussionmentioning

confidence: 99%

“…Fistula development between the kidney and gastrointestinal tract is a rare clinical event (1-3). It is mainly caused by various inflammatory diseases including reactions to foreign bodies, inflammatory bowel diseases, urolithiasis, benign and malignant neoplasms and pyogenic infections.…”

Section: Introductionmentioning

confidence: 99%

Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report

et al. 2014

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“…In case of fistulas of traumatic origin, the symptoms of both gastrointestinal and peritoneal origin dominate the clinical picture [11,12,14].…”

Section: Discussionmentioning

confidence: 99%

“…Ultimately, they can derive from an injury from endoscopic procedures and minimally invasive treatments for kidney and colon cancers and for anatomical proximity of the kidney with the duodenal C and the colon [14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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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“…Fistulae between the gastrointestinal tract and the urinary system most commonly occur between the sigmoid colon and the urinary bladder after an episode of diverticulitis, but very few cases of Pyeloduodenal fistula (PDF) are reported in the literature. PDF account are rare and generally associated with chronic kidney disease or trauma 1 . The retrograde pyelogram is positive in 60% of the patients and in upper gastrointestinal barium study is less than 20%, which is attributable to unidirectional flow from the kidney supported by lack of amylase in the urine of patients affected by PDF 1 .…”

Section: Introductionmentioning

confidence: 99%

Pyeloduodenal fistula complicating neoadjuvant chemotherapy in a patient diagnosed with muscle invasive bladder cancer

Alanee¹

2019

Urology Case Reports

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A 72-year old male presented with muscle invasive bladder cancer was counseled on the standard of care neoadjuvant chemotherapy and he started treatment. He then presented with anemia, blood in the stool and gas in the right renal pelvis and was diagnosed with Pyeloduodenal fistula. The fistula was treated with clipping by gastroenterology and the bladder tumor treated with robotic partial cystectomy.

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Renoduodenal Fistula in a Patient with Chronic Nephrostomy Drainage: A Case Report

Abstract: We describe the occurrence of a renoduodenal fistula related to a nephrostomy tube in a patient with xanthogranulomatous pyelonephritis and renal calculi. The patient was successfully treated by nephrectomy. Etiological, diagnostic and therapeutic aspects are discussed.

Cited by 16 publications

References 17 publications

Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report

Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report

Are Nephroenteric Fistulas Only a Surgical Trouble?

Pyeloduodenal fistula complicating neoadjuvant chemotherapy in a patient diagnosed with muscle invasive bladder cancer

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