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Case Reports
. 2003 Jul;26(3):186-8.
doi: 10.1016/S1015-9584(09)60382-1.

Pyeloduodenocolic fistula

Jensen Tung-Chung Poon  1 , Po-Chor Tam, Kent-Man Chu
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Free article
Case Reports

Pyeloduodenocolic fistula

Jensen Tung-Chung Poon et al. Asian J Surg. 2003 Jul.
Free article

Abstract

A 75-year-old man presented with epigastric pain and melaena. Multiple right renal stones were seen on abdominal X-ray. Computed tomography of the abdomen and oesophagogastroduodenoscopy revealed features of a pyeloduodenal fistula. Elective surgery was planned but the patient developed torrential bleeding with shock. Emergency laparotomy revealed a necrotic right kidney with a pyeloduodenocolic fistula. This report is the first of a pyeloduodenocolic fistula caused by squamous cell carcinoma of the renal pelvis. We review the literature and discuss the aetiologies, clinical presentations, diagnosis, and treatment of pyeloduodenal fistula.

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