caa a22 4500 606245715 CHVBK 20210128101336.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s12262-014-1046-1 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1046-1 Are Nephroenteric Fistulas Only a Surgical Trouble? [Elektronische Daten] [Davide Campobasso, Pietro Granelli, Umberto Maestroni, Dario Cerasi, Stefania Ferretti, Pietro Cortellini] Nephroenteric fistulas can be secondary to different etiologies, the most common of which are pyelocolic fistulas. The absence of pathognomonic symptoms and the heterogeneity of presentation can sometimes result in a delay in diagnosis. We report on three cases: a pyelo-duodenal fistula secondary to kidney stones and subsequent pyonephrosis, a pyelocolic fistula due to inveterate ureteral stones with hydropyonephrosis, and a rare case of posttraumatic pyelocolic fistula. All patients were treated with radical nephrectomy and resection of the involved intestinal tract. Fistulas of the kidney with the gastrointestinal tract are complex not only for the surgical treatment, which is mandatory in the majority of cases, but also for clinical and instrumental diagnosis. Severe infection is a major concern due to the admixture of the enteric bacterial flora with the urinary tract. Nephroenteric fistulas require skilled surgical procedures, close control of the septic risk, management of patient's overall medical condition, and balance between invasive and conservative approach. Association of Surgeons of India, 2014 Nephroenteric fistulas nationallicence Urinoma nationallicence Infection nationallicence Surgical treatment nationallicence Campobasso Davide Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Granelli Pietro Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Maestroni Umberto Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Cerasi Dario Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Ferretti Stefania Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Cortellini Pietro Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut Indian Journal of Surgery Springer India 77/3(2015-06-01), 222-225 0972-2068 77:3<222 2015 77 12262 https://doi.org/10.1007/s12262-014-1046-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1046-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Campobasso Davide Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 700 1- Granelli Pietro Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 700 1- Maestroni Umberto Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 700 1- Cerasi Dario Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 700 1- Ferretti Stefania Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 700 1- Cortellini Pietro Urology OU, Surgical Department, University Hospital of Parma, Via Gramsci 14, 43123, Parma, Italy aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/3(2015-06-01), 222-225 0972-2068 77:3<222 2015 77 12262