Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : PD04 - PD05

Pyeloduodenal Fistula Complicating Emphysematous Pyelonephritis: Successful Management with Minimally Invasive Approach

Priyank Yadav, Rajanikant R Yadav, Sandeep Nunia, Neelam Soni, Hiralal

1. Senior Resident, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 2. Associate Professor, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 3. Senior Resident, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 4. Senior Resident, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 5. Additional Professor, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Hiralal,
Additional Professor, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences,
Lucknow-226014, Uttar Pradesh, India.
E-mail: hiralal2007@yahoo.co.in

Abstract

Pyeloduodenal fistulae are rare and usually occur between the right renal pelvis and the duodenum due to their anatomical proximity. Pyeloduodenal fistula occurring due to local extension of emphysematous pyelonephritis has been described as a rare entity. Conservative management is preferred for management of emphysematous pyelonephritis and pyeloduodenal fistulae if renal function is adequate. We describe a case of emphysematous pyelonephritis of the right kidney complicated by a spontaneous pyeloduodenal fistula and perinephric air and urine containing collections managed conservatively with percutaneous nephrostomy and percutaneous drainage of perinephric collections.

Keywords

Conservative management, Percutaneous drainage, Percutaneous nephrostomy

How to cite this article :

Priyank Yadav, Rajanikant R Yadav, Sandeep Nunia, Neelam Soni, Hiralal. PYELODUODENAL FISTULA COMPLICATING EMPHYSEMATOUS PYELONEPHRITIS: SUCCESSFUL MANAGEMENT WITH MINIMALLY INVASIVE APPROACH. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 21 ]; 11:PD04-PD05. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=PD04-PD05&id=10891

DOI and Others

DOI: 10.7860/JCDR/2017/30985.10891

Date of Submission: Jun 18, 2017
Date of Peer Review: Sep 22, 2017
Date of Acceptance: Sep 25, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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