Spontaneous renojejunal fistula

Renojejunal Fistula: An Extremely Rare Form of Renoenteric Fistula

“…To our knowledge, only 4 other cases have been reported in the literature over the past 5 decades. [1][2][3][4] Its rarity stems from the natural anatomical barriers between the jejunum and the kidney. The left kidney is embedded in the Gerota's fascia, a thick fi brofatty fascia, which separates it from the colon and duodenum.…”

“…In the only case where the kidney was successfully preserved, open surgical excision of the fi stula was still required. 4 Basic surgical principles of surgery of a fi stula require Annals Academy of Medicine Renojejunal Fistula-Keng Siang Png and Khai Lee Toh resecting the fi stula and preserving as much of both sets of tissue connected by the fi stula, as in, for example, vesicovaginal fi stula. However, surgery of the renojejunal fi stula invariably involves removal of the diseased kidney as well.…”