Rare case of left-sided ureteroduodenal fistula.
OBJECTIVE
Ureteroduodenal fistulas are rare and only 11 cases have been reported in the literature since 1918. Diagnosis requires careful observation of symptoms.


METHODS
The case presented demonstrates a 68-year-old female with left-sided ureteroduodenal fistula confirmed by CT scan. A duodenal fistula was localized and an atrophic left kidney was identified and repaired.


RESULTS
Nephroureterectomy was performed and an omental patch was used for the repair. No complications were encountered during the postoperative course.


CONCLUSIONS
Recurrent chronic urinary tract infection, pyuria and hematuria can indicate this rare disease. Early testing and detection can improve the chances of renal preservation.
Shiff
B M
BM
Department of Surgery, Good Samaritan Hospital, Cincinnati, OH, USA. Mary_Pat_Hendy@TriHealth.com
Welling
R E
RE
Rege
P
P
D000368:Aged; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014515:Ureteral Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D014548:Urinary Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery