Pyeloduodenal fistula successfully treated by endoscopic ligation without surgical nephrectomy: case report.
J Korean Med Sci
; 29(1): 141-4, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-24431919
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.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Fístula Intestinal
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Fístula Urinária
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Duodenopatias
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Nefropatias
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
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Female
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Humans
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article