Hohenleitner Julien, Yu Yasong, Gore Amy, Traupman Frank, Jackson Maya, Kunac Anastasia
Department of Surgery, 12286Rutgers New Jersey Medical School, Newark, NJ, USA.
Department of Surgery, 4598RWJBarnabas Health, West Orange, NJ, USA.
Am Surg. 2022 Apr;88(4):793-795. doi: 10.1177/00031348211054523. Epub 2021 Nov 2.
Renoduodenal fistula is an uncommon occurrence and usually results as a complication of injury or inflammatory process. Here, we describe a case of renoduodenal fistula formation after traumatic injury via gunshot wound to the abdomen. The patient suffered right renal and ureteral injury, complicated by urine leak, managed by surgery, interventional radiology, and urology. His post-hospital course was complicated by recurrent urinary tract infections and was found to have a renoduodenal fistula 3 months after the initial operation. Patient underwent uncomplicated right nephrectomy and repair of fistula. Etiology, presentation, diagnosis, and treatment options of renoduodenal fistula are discussed.
肾十二指肠瘘是一种罕见的情况，通常是损伤或炎症过程的并发症。在此，我们描述一例腹部枪伤后创伤性损伤导致肾十二指肠瘘形成的病例。患者右肾和输尿管受伤，并发尿液渗漏，通过手术、介入放射学和泌尿外科进行治疗。他出院后的病程因反复尿路感染而复杂化，并在初次手术后3个月发现有肾十二指肠瘘。患者接受了顺利的右肾切除术和瘘管修复术。本文讨论了肾十二指肠瘘的病因、表现、诊断和治疗选择。
