Uretero-jejunal Fistula: A Rare Cause of Acute Pyelonephritis
CUREUS JOURNAL OF MEDICAL SCIENCE(2023)
Abstract
Penetrating peptic ulcers often lead to severe complications. The development of uretero-enteric fistulas is rare and can be challenging to diagnose and treat. Here, we present the case of a 41-year-old patient who previously underwent gastrojejunostomy for superior mesenteric artery syndrome and developed a peptic jejunal ulcer, leading to a uretero-jejunal fistula and finally causing acute pyelonephritis. The patient was managed with a multidisciplinary approach including medical therapy and endoscopic and radiologic interventions.
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Key words
upper urinary tract obstruction,obstructive hydronephrosis,perforated peptic ulcers,peptic perforation,enteric fistula,percutaneous endoscopic gastrostomy (peg),jejunal perforation,axios stenting,acute pyelonephritis,complicated peptic ulcer disease
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