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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2014; 05(01): 037-038
DOI: 10.4103/0976-5042.141936
Case Report
Society of Gastrointestinal Endoscopy of India

An unusual case of hematemesis: Spontaneous reno-duodenal fistula

Vincenzo De Francesco
Departments of Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome, Italy
,
Franca Castellucci
1   Department of Gastroenterology and Digestive Endoscopy and Radiology, Riuniti Hospitals, Foggia,
,
Silverio Balzano
1   Department of Gastroenterology and Digestive Endoscopy and Radiology, Riuniti Hospitals, Foggia,
,
Angelo Zullo
2   Department of Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome, Italy
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Different diseases may cause gastrointestinal bleeding. A fistula infrequently manifest with severe intestinal bleeding, when excluding those directly involving vascular structures. We described a case of upper digestive bleeding by a spontaneous renal-duodenal fistula in the patient with kidney cancer. Bleeding was successfully stopped by transarterial embolization.

Key words

Fistula - kidney cancer - treatment - upper gastrointestinal bleeding
 

  • References

  • 1 Feinman M, Haut ER. Upper gastrointestinal bleeding. Surg Clin North Am 2014;94:43-53.
  • 2 Millar A, Rostom A, Rasuli P, Saloojee N. Upper gastrointestinal bleeding secondary to an aberrant right subclavian artery-esophageal fistula: A case report and review of the literature. Can J Gastroenterol 2007;21:389-92.
  • 3 Wysocki JD, Joshi V, Eiser JW, Gil N. Colo-renal fistula: An unusual cause of hematochezia. World J Gastrointest Pathophysiol 2010;1:106-8.
  • 4 de Arruda HO, Goldman S, Andreoni C, Maia RS, Szejnfeld J, Ortiz V. Renoduodenal fistula aft er renal tumor ablation with radiofrequency. Surg Laparosc Endosc Percutan Tech 2006;16:342-3.
  • 5 Chow H, Jung A, Talbott J, Lin AM, Daud AI, Coakley FV. Tumor fistulization associated with targeted therapy: Computed tomographic findings and clinical consequences. J Comput Assist Tomogr 2011;35:86-90.
  • 6 Atalla MA, Tajkarimi K, Vinh D, Guarnaccia SP. Pyeloduodenal fistula. J Urol 2009;181:2733-4.
  • 7 Chen CH, Cheng HL, Tong YC, Pan CC. Spontaneous pyeloduodenal fistula: An unusual presentation in advanced renal transitional cell carcinoma. Urology 2002;60:345.
  • 8 Krüger K, Siakavara E. Coil embolization for treatment of vascular complications aft er nephron-sparing surgery. Acta Radiol 2012;53:551-5.