Pyeloduodenocolic Fistula

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 b...

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Veröffentlicht in:	Asian journal of surgery 2003-07, Vol.26 (3), p.186-188
Hauptverfasser:	Poon, Jensen Tung-Chung, Tam, Po-Chor, Chu, Kent-Man
Format:	Artikel
Sprache:	eng
Schlagworte:	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
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Zusammenfassung:	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.
ISSN:	1015-9584
DOI:	10.1016/S1015-9584(09)60382-1