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Case Report
Presentation and treatment for reno-duodenal fistula in an acutely ill patient
1 Department of Surgery, Division of Urology, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ, USA
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Imran M Khawaja
MD, Department of Surgery, Division of Urology, Rutgers New Jersey Medical School, Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103,
USA
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Article ID: 100046Z15IK2024
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Khawaja IM, Jain K, Popovic A, Pandher M, Weiss RE. Presentation and treatment for reno-duodenal fistula in an acutely ill patient. J Case Rep Images Urol 2024;9(2):5–8.ABSTRACT
Introduction: Renal duodenal fistulas are a very rare connection due to chronic inflammation or infection secondary to kidney stones.
Case Report: We present a female with right perinephric abscess and reno-duodenal fistula secondary to a long-standing history of kidney stones. Treatment involved drainage of the abscess, nephrostomy tube placement, intravenous antibiotics, and open nephrectomy and duodenal repair with gastrojejunostomy.
Conclusion: In this report, we discuss management strategies which range from conservative treatment of antibiotics to open nephrectomy. In addition, we will discuss the urologic and gastroenterological post-operative complications in this patient.
Keywords: Fistula, Gastrojejunostomy, Nephrectomy, Reno-duodenal fistula
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Author Contributions
Imran M Khawaja - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Kunj Jain - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Aleksandar Popovic - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Meher Pandher - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Robert E Weiss - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Imran M Khawaja et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
