Ureteroduodenal fistula.
A patient with pneumaturia was found to have a ureteroduodenal fistula, only the fourth such lesion reported. However, this patient is unique in that a fistula developed between the stump of a ureter and the duodenum in the absence of a kidney on that side. This case was namaged with a distal skin ureterostomy, thereby avoiding extremely hazardous surgery in the area of the duodenum. This successful conservative managemant offers a sharp contrast to the recommended management of reno-alimentary fistulas. The possible cause in this case based on roentgenographic analysis is discussed.
Duodenum↗