Related Experiment Videos
Pyeloduodenocolic fistula.
Jensen Tung-Chung Poon1, Po-Chor Tam, Kent-Man Chu
1Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.
Asian Journal of Surgery
|August 20, 2003
Summary
A rare pyeloduodenocolic fistula, caused by renal pelvis squamous cell carcinoma, led to severe bleeding in a 75-year-old man. This case highlights the importance of considering rare urinary tract and gastrointestinal fistulas.
Area of Science:
- Urology
- Gastroenterology
- Oncology
Background:
- Pyeloduodenal fistula is a rare condition involving abnormal communication between the renal pelvis and duodenum.
- Causes typically include peptic ulcer disease, renal stones, and malignancy.
Observation:
- A 75-year-old male presented with epigastric pain and melaena.
- Imaging revealed right renal stones and features suggestive of a pyeloduodenal fistula.
- Emergency surgery identified a necrotic right kidney with a pyeloduodenocolic fistula.
Findings:
- This is the first reported case of a pyeloduodenocolic fistula attributed to squamous cell carcinoma of the renal pelvis.
- The patient experienced torrential bleeding and shock due to the fistula.
Implications:
- This case underscores the need for prompt diagnosis and management of pyeloduodenal fistulas, especially when associated with malignancy.
- Further research into the etiologies, diagnosis, and treatment of these rare fistulas is warranted.