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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 4/2023

20-02-2023 | Tuberculosis | DDS–SIRC COOPERATIVE CONFERENCES

Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula

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

Published in: Digestive Diseases and Sciences | Issue 4/2023

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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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Metadata
Title
Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula
Authors
Patrizia Alba Gentile
Loredana Gualtieri
Silvia Izzo
Klaudia Luka
Augusto Lauro
Bruno Salvati
Publication date
20-02-2023
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 4/2023
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-023-07828-1

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