Pyelo-hepatic fistula.
A 43-year-old woman with hypertension presented to the emergency department with oliguria, fever, and abdominal pain. Physical examination and laboratory evaluation revealed sepsis and acute renal failure. Blood culture yielded Proteus mirabilis. Imaging studies showed markedly enlarged right kidney with abscess communicating with liver. To our knowledge, this is the first report of Pyelo-Hepatic fistula.
Chung
Shiu-Dong
SD
Department of Surgery, Division of Urology, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan.
Chen
Kuo-Hsin
KH
Chang
Hsiao-Chun
HC
D015746:Abdominal Pain / Q000175:diagnosis; D000328:Adult; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007668:Kidney / Q000382:microbiology / Q000473:pathology; D007674:Kidney Diseases / Q000175:diagnosis; D008100:Liver Abscess / Q000175:diagnosis; D008279:Magnetic Resonance Imaging / Q000379:methods; D009846:Oliguria / Q000150:complications / Q000175:diagnosis*; D011512:Proteus Infections / Q000175:diagnosis*; D011513:Proteus mirabilis / Q000378:metabolism; D011859:Radiography; D014548:Urinary Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging; D014572:Urology / Q000379:methods