Pyeloduodenal fistula secondary to renal tuberculosis
Bhargava, B.N.; Mehta, F.S.; Gupta, P.C.
Journal of the Royal College of Surgeons of Edinburgh 27(4): 242-243
1982
ISSN/ISBN: 0035-8835 PMID: 7131367 Document Number: 5677
Pyeloduodenal fistula is rare. Of 32 recorded cases only six originating from renal tuberculosis have been traced. In three of this small group stricture or calculous obstruction at the pelviureteric junction occurred. The clinical picture is often obscure and the renal lesion confirmed by radiography. Treatment by nephroureterectomy and closure of the duodenal defect is effective and intensive anti-tuberculosis therapy must be given. The nephrectomy may be difficult because of chronic fibrosis and adhesion formation.
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