eMedicine Specialties > Urology > Fistulas

Renoalimentary Fistula: Multimedia

Author: Martha K Terris, MD, FACS, Professor, Department of Surgery, Medical College of Georgia
Coauthor(s): Matthew A Collins, MD, Staff Physician, Department of Urology, Medical College of Georgia; Sagar R Shah, MD, Staff Physician, Department of Urologic Surgery, Medical College of Georgia Health System
Contributor Information and Disclosures

Updated: Apr 23, 2009

Multimedia

Renoalimentary fistula. A 61-year-old patient wit...
(Enlarge Image)
Media file 1: Renoalimentary fistula. A 61-year-old patient with a history of urinary diversion due to transitional cell carcinoma of the bladder presented with back pain and underwent a bone scan to evaluate for the presence of metastases. Bone scan findings revealed drainage of the urinary radioisotope into the colon.
[ CLOSE WINDOW ]
Renoalimentary fistula. A 61-year-old patient wit...

Renoalimentary fistula. A 61-year-old patient with a history of urinary diversion due to transitional cell carcinoma of the bladder presented with back pain and underwent a bone scan to evaluate for the presence of metastases. Bone scan findings revealed drainage of the urinary radioisotope into the colon.

Renoalimentary fistula. A 61-year-old patient wit...
(Enlarge Image)
Media file 2: Renoalimentary fistula. A 61-year-old patient with a history of urinary diversion due to transitional cell carcinoma of the bladder presented with back pain and underwent a bone scan to evaluate for the presence of metastases. Bone scan findings revealed drainage of the urinary radioisotope into the colon (same patient as in Image 1). Subsequent intravenous pyelography revealed contrast in the renal pelvis draining into the colon on the right.
[ CLOSE WINDOW ]
Renoalimentary fistula. A 61-year-old patient wit...

Renoalimentary fistula. A 61-year-old patient with a history of urinary diversion due to transitional cell carcinoma of the bladder presented with back pain and underwent a bone scan to evaluate for the presence of metastases. Bone scan findings revealed drainage of the urinary radioisotope into the colon (same patient as in Image 1). Subsequent intravenous pyelography revealed contrast in the renal pelvis draining into the colon on the right.

CT scan of an apparent colorenal fistula followin...
(Enlarge Image)
Media file 3: CT scan of an apparent colorenal fistula following radiofrequency ablation of a small right renal tumor in a 51-year-old man. Air was found within the collecting system. Conservative treatment of the fistula was successful.
[ CLOSE WINDOW ]
CT scan of an apparent colorenal fistula followin...

CT scan of an apparent colorenal fistula following radiofrequency ablation of a small right renal tumor in a 51-year-old man. Air was found within the collecting system. Conservative treatment of the fistula was successful.

More on Renoalimentary Fistula

Overview: Renoalimentary Fistula
Workup: Renoalimentary Fistula
Treatment: Renoalimentary Fistula
Follow-up: Renoalimentary Fistula
Multimedia: Renoalimentary Fistula
References
[ CLOSE WINDOW ]

References

  1. Arthur GW, Morris DG. Reno-alimentary fistulae. Br J Surg. May 1966;53(5):396-402. [Medline].

  2. Bachelier MN, Carteron M, Gazaigne J, et al. [A case of renocolic fistula complicating xanthogranulomatous pyelonephritis treated by laparoscopy]. Prog Urol. Feb 2004;14(1):67-9. [Medline].

  3. Bergenfeldt M, Hakansson U, Bjorkdahl P. Successful conservative management of a pyelo-duodenal fistula. Scand J Urol Nephrol. 2003;37(2):186-8. [Medline].

  4. Biondi GC. Duodenal fistula. JAMA. 1935;104:1894-7.

  5. Bissada NK, Cole AT, Fried FA. Reno-alimentary fistula: an unusual urological problem. J Urol. Sep 1973;110(3):273-6. [Medline].

  6. Bleacher JC, Boline GB, Decter RM, Conter RL. Pyeloduodenal fistula: a previously undescribed complication of Stamm gastrostomy. J Pediatr Surg. Dec 1993;28(12):1579-81. [Medline].

  7. Cline KL, Lang EK. Renal gastric fistula caused by staghorn calculus. J Urol. Sep 2005;174(3):1107. [Medline].

  8. Corder AP. Renal abscess with gas formation secondary to acute appendicitis. Br J Urol. Jan 1987;59(1):90. [Medline].

  9. Evans PF. Spontaneous pyelo-jejunal fistula. Postgrad Med J. Nov 1990;66(781):965-7. [Medline].

  10. Gerspach JM, Bellman GC, Stoller ML, Fugelso P. Conservative management of colon injury following percutaneous renal surgery. Urology. Jun 1997;49(6):831-6. [Medline].

  11. Gibbons RP, Schmidt JD. Reno-colic and reno-colic-cutaneous fistula: report of 3 cases. J Urol. Nov 1965;94(5):520-7. [Medline].

  12. Gill IS, Remer EM, Hasan WA, et al. Renal cryoablation: outcome at 3 years. J Urol. Jun 2005;173(6):1903-7. [Medline].

  13. Gup AK, Rogers HC, Evans BB, Alley SA. Fistula involving the left kidney, small bowel and skin. South Med J. Jul 1968;61(7):748-50. [Medline].

  14. Hadar H, Gadoth N. Positional relations of colon and kidney determined by perirenal fat. AJR Am J Roentgenol. Oct 1984;143(4):773-6. [Medline].

  15. Herbert FB, Goodacre B, Neal DE Jr. Successful conservative management of nephrocolic fistula. J Endourol. Apr 2001;15(3):281-3. [Medline].

  16. Hopkins WF, Pierce JM Jr. Spontaneous pyelo-duodenal fistula: a case report. J Urol. Apr 1966;95(4):489-92. [Medline].

  17. Hopper KD, Sherman JL, Williams MD, Ghaed N. The variable anteroposterior position of the retroperitoneal colon to the kidneys. Invest Radiol. Apr 1987;22(4):298-302. [Medline].

  18. Kim SC, Weiser AC, Nadler RB. Nephroenteric fistula treated with fulguration of the fistulous tract. J Endourol. Jun 2000;14(5):443-5. [Medline].

  19. King JD. Spontaneous renoduadenal fistulas. Radiology. 1950;54:82-6.

  20. LeRoy AJ, Williams HJ Jr, Bender CE, et al. Colon perforation following percutaneous nephrostomy and renal calculus removal. Radiology. Apr 1985;155(1):83-5. [Medline].

  21. Mahnken AH, Rohde D, Brkovic D, et al. Percutaneous radiofrequency ablation of renal cell carcinoma: preliminary results. Acta Radiol. Apr 2005;46(2):208-14. [Medline].

  22. Majeed HA, Mohammed KA, Salman HA. Renocolic fistula as a complication to xanthogranulomatous pyelonephritis. Singapore Med J. Mar 1997;38(3):116-9. [Medline].

  23. Mammen A, Ponnambathayil S, Varma KK, Kumar EK. A rare complication of appendicitis: appendiculorenal sinus with renal cellulitis. Pediatr Surg Int. Jul 2005;21(7):582-4. [Medline].

  24. Mammen NI. Pyeloduodenal fistula: a case report. Ind J Urol. 2004;2:171-2.

  25. Mathews MR, Caruso DM, Vu LP, et al. Treatment challenge: pyeloduodenal fistula. Infect Urol. 2002;15(1):18-22.

  26. Mertz H. Spontaneous reno-visceral fistulae with report of two cases of reno-colic fistulae. Trans Amer Ass Genito-Urin Surg. 1931;24:115.

  27. Mooreville M, Elkouss GC, Schuster A, et al. Spontaneous renocolic fistula secondary to calculous pyonephrosis. Urology. Feb 1988;31(2):147-50. [Medline].

  28. Morris SB, Knight MJ, Shearer RJ. Pyelo-duodenal fistula: a new method of closure. Br J Urol. Apr 1994;73(4):464-5. [Medline].

  29. Newman B. Duodenorenal fistula. Pediatr Radiol. Apr 2004;34(4):343-7. [Medline].

  30. Parvey HR, Cochran ST, Payan J, et al. Renocolic fistulas: complementary roles of computed tomography and direct pyelography. Abdom Imaging. Jan-Feb 1997;22(1):96-9. [Medline].

  31. Pickard LR, Tepas JJ, Agarwal BL, Haller JA. Duodeno-renal fistula: an uncommon complication of an ingested foreign body. J Pediatr Surg. Jun 1980;15(3):337-8. [Medline].

  32. Prassopoulos P, Gourtsoyiannis N, Cavouras D, Pantelidis N. Interposition of the colon between the kidney and the psoas muscle: a normal anatomic variation studied by CT. Abdom Imaging. Sep-Oct 1994;19(5):446-8. [Medline].

  33. Pulvertaft RJ. Nephro-renal fistula. Lancet. 1935;1:24-5.

  34. Schwartz DT, Garnes HA, Lattimer JK, Roberts TW. Pyeloduodenal fistula due to tuberculosis. J Urol. Sep 1970;104(3):373-5. [Medline].

  35. Shah A, Salamut W, Rull G, et al. Spontaneous pelvi-cholecystic fistula. BJU Int. Feb 2002;89(3):322-3. [Medline].

  36. Singh G, Gordon-Harris L. Tubercular reno-colic fistula. Int J Radiol Imag. 2004;14(3):295-7.

  37. Skoog SJ, Reed MD, Gaudier FA Jr, Dunn NP. The posterolateral and the retrorenal colon: implication in percutaneous stone extraction. J Urol. Jul 1985;134(1):110-2. [Medline].

  38. Tsuchiya T, Yoh M, Ito Y, Ban Y. [Primary adenocarcinoma of the renal pelvis with a pyeloduodenal fistula: a case report]. Hinyokika Kiyo. Jun 2001;47(6):421-3. [Medline].

  39. Wise HM Jr, Shimada T. Pyeloduodenal fistula: a case report. J Urol. Jun 1967;97(6):987-9. [Medline].

  40. Young TH, Lee HS, Tang SS. Urine extravasation into the colon detected by Tc-99m DTPA scintigraphy in a pyeloduodenal fistula resulting from chronic penetrating duodenal ulcer. Clin Nucl Med. Mar 2004;29(3):198-200. [Medline].

  41. de Arruda HO, Goldman S, Andreoni C, Maia RS, Szejnfeld J, Ortiz V. Renoduodenal fistula after renal tumor ablation with radiofrequency. Surg Laparosc Endosc Percutan Tech. Oct 2006;16(5):342-3. [Medline].

  42. Vanderbrink BA, Rastinehad A, Caplin D, Ost MC, Lobko I, Lee BR. Successful conservative management of colorenal fistula after percutaneous cryoablation of renal-cell carcinoma. J Endourol. Jul 2007;21(7):726-9. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

renoalimentary fistula, pyelocolonic fistula, pyeloduodenal fistula, pyelogastric fistula, pyelojejunal fistula, pyeloalimentary fistula, pyeloenteric fistula, pyelointestinal fistula, nephrocolonic fistula, nephroduodenal fistula, nephrojejunal fistula, nephrogastric fistula, nephroalimentary fistula, nephroenteric fistula, nephrointestinal fistula, renocolic fistula, renoduodenal fistula, renojejunal fistula, renogastric fistula, renoenteric fistula, renointestinal fistula, enterorenal fistula, colorenal fistula , duodeno-renal fistula, appendiculorenal sinus, pelvi-cholecystic fistula, iatrogenic renoalimentary fistula

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Martha K Terris, MD, FACS, Professor, Department of Surgery, Medical College of Georgia
Martha K Terris, MD, FACS is a member of the following medical societies: American Cancer Society, American College of Surgeons, American Institute of Ultrasound in Medicine, American Urological Association, New York Academy of Sciences, and Society of University Urologists
Disclosure: Nothing to disclose.

Coauthor(s)

Matthew A Collins, MD, Staff Physician, Department of Urology, Medical College of Georgia
Matthew A Collins, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Medical Student Association/Foundation, American Urological Association, and Southern Medical Association
Disclosure: Nothing to disclose.

Sagar R Shah, MD, Staff Physician, Department of Urologic Surgery, Medical College of Georgia Health System
Sagar R Shah, MD is a member of the following medical societies: American Association of Physicians of Indian Origin, American Medical Association, American Urological Association, and Endourological Society
Disclosure: Nothing to disclose.

Medical Editor

Peter Langenstroer, MD, Associate Professor, Department of Urology, Medical College of Wisconsin
Peter Langenstroer, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Shlomo Raz, MD, Professor, Department of Surgery, Division of Urology, University of California at Los Angeles School of Medicine
Shlomo Raz, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, and California Medical Association
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.