[A case of spontaneous pyeloduodenal fistula].
A 61-year-old woman visited our hospital complaining of right flank pain and fever. The radiograph demonstrated multiple renal calculi. Radio renography showed no uptake in the right kidney. Therefore, we diagnosed her with pyonephrosis, and recommended open nephrectomy. However, she selected the conservative treatment with extra corporeal shockwave lithotripsy (ESWL). In spite of disappearance of multiple calculi, pyuria continued for 3 months after ESWL. Retrograde pyelography showed a fistula from the right pelvis into the duodenum. The patient was successfully treated by nephrectomy and duodeno-fistelectomy.
Department of Urology, Gifu Prefectural Hospital.
Y
Y
Hamamoto
A
A
Noguchi
K
K
Minoshima
M
M
Taniguchi
T
T
Takeuchi
S
S
Sakai
D004378:Duodenal Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy; D007682:Kidney Pelvis; D008096:Lithotripsy; D008875:Middle Aged; D009392:Nephrectomy; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*