Ureteroileal fistulas.
Of the fistulas that involve the urinary and intestinal tracts vesicointestinal fistulas are the most common and nephrointestinal fistulas are infrequent. Ureteroileal fistulas are extremely rare, with only 6 previously reported cases. Three recent cases are presented to highlight current management. In all 3 patients the ureteroileal fistula developed postoperatively, including 1 after radical pelvic surgery for advanced ovarian carcinoma, 1 following failed transureteroureterostomy and 1 after a repeat left ureteral reimplant with a pelvic abscess. Infection and/or urinary leakage had a major role in these cases, similar to the previously reported fistulas. In contrast to the previously reported patients, all of whom underwent surgical excision or revision, the 3 patients described herein were managed successfully with percutaneous nephrostomy or indwelling ureteral stents. Although successful management today may bypass operative intervention in these rare fistulas most are preventable operative complications.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000628:therapy; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D014515:Ureteral Diseases / Q000175:diagnosis* / Q000628:therapy; D014548:Urinary Fistula / Q000175:diagnosis* / Q000628:therapy