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Duodenorenal fistula

Beverley Newman1

  • 1Children's Hospital of Pittsburgh, University of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213, USA. beverley.newman@chp.edu

Pediatric Radiology
|November 25, 2003
PubMed

Insights

Two children developed duodenorenal fistulas, one from an ingested toothpick and another from a kidney abscess. Both required surgical intervention, including fistula closure and nephrectomy.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urology

Background:

  • Duodenorenal fistulas are rare congenital or acquired abnormalities connecting the duodenum and kidney.
  • Causes can include trauma, infection, or foreign body ingestion.

Observation:

  • Two pediatric cases of duodenorenal fistula are presented, aged 5 and 13 years.
  • Case 1 involved a duodenorenal fistula secondary to duodenal perforation and renal migration of an ingested toothpick.
  • Case 2 involved a fistula resulting from a chronic perinephric abscess.

Findings:

  • Both patients underwent successful surgical management.
  • Treatment included fistula closure and right nephrectomy in both cases.

Implications:

  • This case series highlights unusual etiologies of duodenorenal fistula in children.
  • Prompt surgical intervention is crucial for managing these complex cases.
  • Understanding these rare presentations aids in diagnosis and treatment planning for pediatric surgical and urological conditions.

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