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KMID : 0191120140290010141
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Journal of Korean Medical Science
2014 Volume.29 No. 1 p.141 ~ p.144
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Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report
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Lee Kyung-Nam
Hwang In-Hye
Shin Min-Ji
Lee Soo-Bong
Kim Il-Young
Lee Dong-Won
Rhee Ha-Rin
Yang Byeong-Yun
Seong Eun-Young
Kwak Ihm-Soo
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Abstract
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A 74-yr-old woman presented with fever and abdominal discomfort. She was in a septic condition caused by urinary tract infection. Her computed tomogram of the abdomen revealed features of hydronephrosis with ureteral stones in both kidneys. During percutaneous nephrostomies, right pyeloduodenal fistula (PDF) was diagnosed. Elective surgery was originally planned but the patient was in a poor condition to undergo surgery. Instead, 2 times endoscopic clipping and ligation by endoloop were applied with parenteral antibiotics for the fistula lesion. On admission day 30, she was discharged from the hospital after confirmation of no more contrast leakage on fistulography. We reviewed the literature and discuss the etiologies, clinical presentations, diagnosis, and treatment of PDF.
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KEYWORD
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Duodenal Diseases, Intestinal Fistula, Kidney Diseases, Urinary Fistula, Endoscopy
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