Spontaneous pyeloduodenal and renocolic fistulas.

Twenty-seven previously reported cases of pyeloduodenal fistulas are reviewed and the first case of a simultaneously occurring pyeloduodenal and renocolic fistula is reported. Pyeloduodenal fistulas appear to result from an inflammatory process originating in the kidney, frequently are associated with calculi, and are best managed surgically with nephrectomy and closure of the fistula.