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[Spontaneous pyeloduodenal fistula: a case report].
Hinyokika Kiyo. 1997 Jan; 43(1):37-9.HK

Abstract

A 71-year-old female presented with recurrent episodes of right flank pain and fever for the past several years. No pathogens were detected in the urine culture. Abdominal X-ray revealed staghorn calculi of the right kidney. Computerized tomography revealed pneumopelvis and staghorn stones of the right kidney. A nephrectomy was indicated based on the results of intravenous pyelography (IVP) and renogram which revealed a right non-functioning kidney. The adhesion of the right kidney with the duodenum and a transverse colon was so strong that a nephrectomy, a wedge resection of the duodenum and a transverse colectomy were performed. There was a fistula between the renal pelvis and the second portion of the duodenum. The fistula was speculated to have occurred by the spontaneous rupture of the renal pelvis to the duodenum. To the best of our knowledge, this is the 15th case of spontaneous nephroduodenal fistula in Japan.

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Authors+Show Affiliations

Nagatsuma K
Department of Urology, Keio University School of Medicine.
Uchida A
No affiliation info available
Miyakawa A
No affiliation info available
Baba S
No affiliation info available
Murai M
No affiliation info available
Takahashi S
No affiliation info available

MeSH

AgedDuodenal DiseasesFemaleHumansIntestinal FistulaKidney CalculiKidney DiseasesKidney PelvisUrinary Fistula

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

9046420

Citation

Nagatsuma, K, et al. "[Spontaneous Pyeloduodenal Fistula: a Case Report]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 43, no. 1, 1997, pp. 37-9.
Nagatsuma K, Uchida A, Miyakawa A, et al. [Spontaneous pyeloduodenal fistula: a case report]. Hinyokika Kiyo. 1997;43(1):37-9.
Nagatsuma, K., Uchida, A., Miyakawa, A., Baba, S., Murai, M., & Takahashi, S. (1997). [Spontaneous pyeloduodenal fistula: a case report]. Hinyokika Kiyo. Acta Urologica Japonica, 43(1), 37-9.
Nagatsuma K, et al. [Spontaneous Pyeloduodenal Fistula: a Case Report]. Hinyokika Kiyo. 1997;43(1):37-9. PubMed PMID: 9046420.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Spontaneous pyeloduodenal fistula: a case report]. AU - Nagatsuma,K, AU - Uchida,A, AU - Miyakawa,A, AU - Baba,S, AU - Murai,M, AU - Takahashi,S, PY - 1997/1/1/pubmed PY - 1997/1/1/medline PY - 1997/1/1/entrez SP - 37 EP - 9 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 43 IS - 1 N2 - A 71-year-old female presented with recurrent episodes of right flank pain and fever for the past several years. No pathogens were detected in the urine culture. Abdominal X-ray revealed staghorn calculi of the right kidney. Computerized tomography revealed pneumopelvis and staghorn stones of the right kidney. A nephrectomy was indicated based on the results of intravenous pyelography (IVP) and renogram which revealed a right non-functioning kidney. The adhesion of the right kidney with the duodenum and a transverse colon was so strong that a nephrectomy, a wedge resection of the duodenum and a transverse colectomy were performed. There was a fistula between the renal pelvis and the second portion of the duodenum. The fistula was speculated to have occurred by the spontaneous rupture of the renal pelvis to the duodenum. To the best of our knowledge, this is the 15th case of spontaneous nephroduodenal fistula in Japan. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/9046420/[Spontaneous_pyeloduodenal_fistula:_a_case_report]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/115884 DB - PRIME DP - Unbound Medicine ER -