Pyeloduodenal fistula due to proximal ureterolithiasis and its successful conservative management
| Authors | |
|---|---|
| Year of publication | 2013 |
| Type | Article in Periodical |
| Magazine / Source | Urolithiasis |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.1007/s00240-013-0607-2 |
| Field | Surgery incl. transplantology |
| Keywords | Pyeloduodenal fistula; symptoms; treatment; percutaneous procedure |
| Description | Pyeloduodenal fistula is a communication between renal pelvis and duodenum. As a result of its rare occurence, almost all data on pyeloduodenal fistulas come from case reports only. Approximately, 100 cases have been reported so far. The most common cause is inflammation of the kidney and perirenal space, usually following upper urinary tract obstruction. The symptoms may be non-specific and long lasting. Surgical treatment comprising nephrectomy and primary closure of duodenum has been considered the treatment of choice. With the advent of percutaneous procedures, the number of pyeloduodenal fistulas treated conservatively has been increasing. |