Background/aims: Ureteroduodenal fistulas are rare and only 11 cases have been reported in the literature since 1918. Diagnosis requires careful observation of symptoms.
Methods: The case presented demonstrates a 68-year-old female with left-sided ureteroduodenal fistula confirmed by CT scan. A duodenal fistula was localized and an atrophic left kidney was identified and repaired.
Results: Nephroureterectomy was performed and an omental patch was used for the repair. No complications were encountered during the postoperative course.
Conclusions: Recurrent chronic urinary tract infection, pyuria and hematuria can indicate this rare disease. Early testing and detection can improve the chances of renal preservation.
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