Uretero-duodenal Fistula as a Result from Ureteropelvic Junction Obstruction Correction: Case Report

Teeranop Choorit, Worapat Attawettayanon, Virote Chalieopanyarwong

Abstract

Uretero-duodenal fistula is an uncommon complication in urology. The cause of fistula have been reported as ureteral calculi, iatrogenic injury, trauma and malignancy. The gold standard treatment of uretero-duodenal fistula remains controversial. The most common management is nephrectomy and primary closure of fistula. We report a case of 67 yearold man with uretero-duodenal fistula after laparoscopic correction of ureteropelvic junction obstruction. In the era of minimal invasive management, we decided to use endoscopic and conservative treatment. The definitive treatment will be reconsidered if conservative treatment fails. We will discuss the steps of management and follow-up for this patient.

 Keywords

fistula; intestinal fistula; ureteropelvic junction obstruction; urinary fistula

 Full Text:

PDF

References

David EG. Duodenoureteral fistula of spontaneous origin. JAMA 1918;70:376.

Robert BJ, Giblin JG, Tehan TJ, Lynch JH. Ureteroduodenal fistula. Urology 1996;48:301-3.

Ginsberg DA, Stein JP, Grossfeld GD, Tarter T, Skinner DG. Traumatic pyeloduodenal fistula: a case report and review of the literature. Urology 1996;47:588-91.

Ross JM, Tanna DD. Pyeloduodenal fistula. J R Coll Surg Edinb 1974;19:51-3.

Kondapi D, Tambe V, Hegazy H. Pyeloduodenal fistula as a result of pyonephrosis. Urol Case Rep 2018;30:36-7.

Kobayashi T, Casablanca NM, Harrington M. Pyeloduodenal fistula diagnosed with technetium- 99m scintigraphy and managed with a conservative strategy. BMJ Case Rep 2018. doi:10.1136/bcr-2017-223425.

Rodney K, Maxted WC, Pahira JJ. Pyeloduodenal fistula. Urology 1983;22:536-9.

Lang EK, Hanano A, rudman E. Pyeloduodenal fistula diagnosed on parenchymal excretory phase computerized tomography. J Urol 2010;184:334.

Lee KN, Hwang IH, Shin MJ, Lee SB, Kim IY, Lee DW, et al. Pyeloduodenal fistula successfully treated by endoscopic ligation without surgical nephrectomy: case report. J Korean Med Sci 2014;29:141-4.

Herbert FB, Goodacre B, Neal DE Jr. Successful conservative management of nephrocolic fistula. J Endourol 2001;15:281-3.

Desmond JM, Evans SE, Couch A, Morewood DJ. Pyeloduodenal fistulae: a report of two cases and review of the literature. Clin Radiol 1989;40:267-70.

Herbert FB, Goodacre B, Neal DE Jr. Successful conservative management of nephrocolic fistula. J Endourol 2001;15: 281-3.

DOI: http://dx.doi.org/10.31584/jhsmr.2020772

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.