Gentile Patrizia Alba, Gualtieri Loredana, Izzo Silvia, Luka Klaudia, Lauro Augusto, Salvati Bruno
Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
Dig Dis Sci. 2023 Apr;68(4):1106-1111. doi: 10.1007/s10620-023-07828-1. Epub 2023 Feb 20.
We describe the case of a 76-year-old woman with a spontaneous nephroduodenal fistula. The patient was initially evaluated for gastrointestinal and urinary symptoms associated with fever and anemia, after which she was admitted with the diagnosis of right chronic pyelonephritis, hydronephrosis, and renal lithiasis. The fistula was diagnosed incidentally by percutaneous pyelography during a right nephrostomy and was later confirmed with an abdominal CT scan. A multidisciplinary decision was made to surgically treat the fistula (right nephrectomy plus duodenal repair); the surgery had a short-term positive outcome. We report a systematic review of the literature related to spontaneous pyeloduodenal fistulæ and their treatments.
我们描述了一例76岁患有自发性肾十二指肠瘘的女性病例。该患者最初因伴有发热和贫血的胃肠道及泌尿系统症状接受评估，之后被诊断为右慢性肾盂肾炎、肾积水和肾结石而入院。瘘管在右肾造瘘术期间通过经皮肾盂造影偶然发现，随后经腹部CT扫描得以证实。经多学科会诊后决定对瘘管进行手术治疗（右肾切除术加十二指肠修补术）；手术取得了短期良好效果。我们报告了一项关于自发性肾盂十二指肠瘘及其治疗的文献系统综述。
