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Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula

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Abstract

We describe the case of a 76-year-old woman with a spontaneous nephroduodenal fistula. The patient was initially evaluated for gastrointestinal and urinary symptoms associated with fever and anemia, after which she was admitted with the diagnosis of right chronic pyelonephritis, hydronephrosis, and renal lithiasis. The fistula was diagnosed incidentally by percutaneous pyelography during a right nephrostomy and was later confirmed with an abdominal CT scan. A multidisciplinary decision was made to surgically treat the fistula (right nephrectomy plus duodenal repair); the surgery had a short-term positive outcome. We report a systematic review of the literature related to spontaneous pyeloduodenal fistulæ and their treatments.

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Abbreviations

CT scan:

Computed tomography scan

CBC:

Complete blood count

pt:

Patient

NA:

Not available

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Acknowledgments

We wish to thank Ms. Elena Baldissone for the drawing and English language editing.

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Authors and Affiliations

  1. Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy

    Patrizia Alba Gentile, Loredana Gualtieri, Silvia Izzo, Klaudia Luka, Augusto Lauro & Bruno Salvati

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  1. Patrizia Alba Gentile
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  2. Loredana Gualtieri
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  3. Silvia Izzo
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Correspondence to Patrizia Alba Gentile.

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A profile of Patrizia Alba GENTILE is available at https://doi.org/10.1007/s10620-023-07829-0.

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Gentile, P.A., Gualtieri, L., Izzo, S. et al. Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula. Dig Dis Sci 68, 1106–1111 (2023). https://doi.org/10.1007/s10620-023-07828-1

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