Hode E, Josse C, Mechaouri M, Garnier L, Verhaeghe P
Centre Hospitalier du Pays de Montreuil.
J Chir (Paris). 1990 May;127(5):281-5.
A pyelo duodenal fistula is rarely observed although anatomical relations between the high urinary tract and digestive tractus are closed. The authors report here a new observation of pyelo-duodenal fistula and make correlations with the 73 observations published in mondial literature. Spontaneous fistulas from urinary etiology are the most frequent. This urinary pathology is revealed by general and digestive signs. Duodenal fistula could usually be stiched up. Renal destruction require nephrectomy.
肾盂十二指肠瘘虽少见，但上尿路与消化道之间解剖关系密切。作者在此报告一例肾盂十二指肠瘘新病例，并与世界文献中发表的73例病例进行对比分析。由泌尿系统病因引起的自发性瘘最为常见。这种泌尿系统疾病以全身及消化道症状为表现。十二指肠瘘通常可缝合。肾脏毁损则需行肾切除术。
