Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report.
10.3346/jkms.2014.29.1.141
- Author:
Kyung Nam LEE
1
;
In Hye HWANG
;
Min Ji SHIN
;
Soo Bong LEE
;
Il Young KIM
;
Dong Won LEE
;
Harin RHEE
;
Byeong Yun YANG
;
Eun Young SEONG
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, Korea. sbleemd@pusan.ac.kr
- Publication Type:Case Reports
- Keywords:
Duodenal Diseases;
Intestinal Fistula;
Kidney Diseases;
Urinary Fistula;
Endoscopy
- MeSH:
Aged;
Duodenal Diseases/complications/radiography/*surgery;
Female;
Humans;
Hydronephrosis/complications/radiography;
Intestinal Fistula/complications/radiography/*surgery;
Kidney/radiography/surgery;
Kidney Calculi/complications/radiography;
Kidney Diseases/complications/radiography/*surgery;
Ligation;
Urethral Obstruction/complications/radiography;
Urinary Fistula/complications/radiography/*surgery;
Urinary Tract Infections/complications/radiography
- From:Journal of Korean Medical Science
2014;29(1):141-144
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 74-yr-old woman presented with fever and abdominal discomfort. She was in a septic condition caused by urinary tract infection. Her computed tomogram of the abdomen revealed features of hydronephrosis with ureteral stones in both kidneys. During percutaneous nephrostomies, right pyeloduodenal fistula (PDF) was diagnosed. Elective surgery was originally planned but the patient was in a poor condition to undergo surgery. Instead, 2 times endoscopic clipping and ligation by endoloop were applied with parenteral antibiotics for the fistula lesion. On admission day 30, she was discharged from the hospital after confirmation of no more contrast leakage on fistulography. We reviewed the literature and discuss the etiologies, clinical presentations, diagnosis, and treatment of PDF.
