Duh Erica, Clary Meredith, Samarasena Jason, Clayman Ralph V, Chang Kenneth
Department of Internal Medicine, University of California Irvine Medical Center, Orange, CA.
Department of Gastroenterology, University of California Irvine Medical Center, Orange, CA.
ACG Case Rep J. 2019 Nov 27;6(11):e00281. doi: 10.14309/crj.0000000000000281. eCollection 2019 Nov.
A 62-year-old woman underwent a series of urologic procedures for nephrolithiasis and was diagnosed with a pyeloduodenal fistula (PDF) on computed tomography urography. After the placement of a metallic ureteral stent and nephrostomy tube, an esophagogastroduodenoscopy was performed to evaluate for PDF resolution. Two areas of mucosal defects within the anterior duodenal sweep were closed using the over-the-scope clip system and hemostasis clips. We review the literature and discuss the etiologies, presentation, diagnosis, and treatment of PDF. This is the second documented case of endoscopic PDF closure using the over-the-scope clip system and the third case of endoscopically treated PDF.
一名62岁女性因肾结石接受了一系列泌尿外科手术，并在计算机断层扫描尿路造影中被诊断为肾盂十二指肠瘘（PDF）。在置入金属输尿管支架和肾造瘘管后，进行了食管胃十二指肠镜检查以评估PDF的解决情况。十二指肠前襻内的两个黏膜缺损区域使用套扎器和止血夹进行了封闭。我们回顾了文献并讨论了PDF的病因、表现、诊断和治疗。这是第二例有文献记载的使用套扎器进行内镜下PDF封闭的病例，也是第三例内镜治疗PDF的病例。
