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SPONTANEOUS RENAL AND URETERAL FISTULAS

SPONTANEOUS RENAL AND URETERAL FISTULAS Abstract Renal and ureteral fistulas are uncommon, and when encountered usually are the result either of traumatic injuries or of surgical accidents. The spontaneous development of such urinary fistulas is so rare as to demand notation. Cases of nephrocolic, nephroperirenal, nephrochylous, ureterovesicoperitoneal and ureteroperiureteral fistulas have been studied at the Cleveland Clinic, all of which were the result of advanced pathologic processes which permitted the extravasation of urine into the adjacent organs and tissues. Spontaneous renal and ureteral fistulas are unusual; their etiology is interesting, and they present difficult therapeutic problems; hence the following case reports. REPORT OF CASES Case 1. References 1. Lower, W. E., and Belcher, G. W.: Chyluria: With a Report of a Case Treated with Neosalvarsan , Surg., Gynec. & Obst. 39:147, 1924. 2. Hampton, H. H.: Non-Parasitic Haemotochyluria , Bull. Johns Hopkins Hosp. 31:20, 1920. 3. Morris, Henry: Surgical Diseases of Kidney and Ureter , London, Cassell & Co., 1901, vols. 1 and 2. 4. Rayer, cited by Morris.3 5. Chadwick, J. R., cited by Weiser.30 6. Hilgenreiner, cited by Weiser.30 7. Melion, cited by Weiser.30 8. Marquezy, T. P.: Une observation de fistula néphrogastrique, Thèse de Paris, 1856, no. 28, v. 593. 9. Murchison, cited by Weiser.30 10. Richter, cited by Weiser.30 11. Kuster, cited by Weiser.30 12. Riverius: Observationes medicæ et curationes insignes, quibus accesserunt observations ab aliis communicatæ , London, M. Flesher, 1646. 13. Fernelius, cited by Morris.3 14. Rosenbach, O.: Ein Fall von Pyelitis calculosa mit Perforation in das Colon ascendens, Inaug. Dissert., Breslau, 1873. 15. Rayer, cited by Chazet, Gaston: Contribution à l'étude de la tuberculose rénale avec fistules, Thèse de Paris, 1899-1900, no. 374. 16. Bang, B. F. L.: Primaer tuberculose i urogenitalorganerne; kommunikation immellem duodenum og den højere ureter , Hosp.-Tid. Københ. 1:561, 1874. 17. d'Allaines and Rouffiac: Fistule pérenéphrocolique avec lésions inflammataires du rein , Bull. Soc. anat. de Paris 93:324, 1923. 18. Ogle, J. W., cited by Weiser.30 19. Ammundale, cited by Morris.3 20. Dittrich, cited by Weiser.30 21. Cruveilhier, cited by Morris.30 22. Roubier, C.: Tuberculous Kidney-Lung Fistula , J. d'urol 13:195, 1922. 23. Pillet, cited by Weiser.30 24. Hortels, cited by Chazet.15 25. Gordon, S.: Case of Reno-Pulmonary Fistula with Ulceration of Duodenum , Dublin Quart. J. M. Sc. 41:90, 1866. 26. Van der Speck, H.: Uroptysis , Nederl. tijdschr. v. geneesk. 2:1855, 1923. 27. von Deesten, H. T.: Recumbent Posture Cough with Purulent Expectoration; An Indicative Symptom in a Case of Perinephritic Abscess which had Ruptured into a Bronchus , J. A. M. A. 88:98 ( (Jan. 8) ) 1927. 28. Kondratovich, K.: Pyohydronephrosis with Elimination of Urine Through the Bronchus , Med. Obozr., Moscow 51:591, 1899. 29. McDwean, cited by Weiser.30 30. Weiser, A.: Die nichttraumatischen Perforation und Fisteln des Harntrakes , Ztschr. f. urol. Chir. 28:120, 1929. 31. Bennett, cited by Morris.3 32. Taylor, J. W.: Acute Hydronephrosis or Dilatation of the Pelvis of the Left Kidney: Rupture of Sac and Extravasation of Urine into Peritoneal Cavity; Operative Recovery with Rupture into Peritoneal Cavity , Lancet 2:589, 1884. 33. Turner, Phillip: Hydronephrosis of Single Kidney: Spontaneous Rupture into the Peritoneal Cavity , Proc. Roy. Soc. Med. 16:24, 1923. 34. Bazy, cited by LeComte.42 35. Schreuder, O.: Spontaneous Rupture of Hydronephrosis , Deutsche Ztschr. f. Chir. 191:100, 1925. 36. Tschugajeff, cited by Weiser.30 37. Alglave, cited by Weiser.30 38. Maudet, cited by Chazet.15 39. Vanwerts, cited by Weiser.30 40. Van Saar, G.: Ueber Hydronephrosenruptur und den dabei auftretenden Symptomenkomplex , Beitr. z. klin. Chir. 64:316, 1909. 41. Mathe, C. P., and Oviedo, G. F.: Spontaneous Rupture of Hydronephrotic Sax, Secondary to Ureteral Stone , California & West. Med. 26:790, 1927. 42. LeComte, R. M.: Spontaneous Rupture of Hydronephrosis , J. Urol 15:517, 1920. 43. Wood, W. F.: Spontaneous Rupture of Hydronephrosis , Brit. J. Surg. 10:574, 1923. 44. Pachkis, R., cited by Weiser.30 45. Everett, William: Perforation of Kidney by a Large Branched Calculus , Brit. M. J. 1:17, 1925. 46. Turner, Alfred C.: Unusual Case of Urinary Fistula , Lancet 2:220, 1929. 47. Delzell, W. R., and Harrah, Frank W.: Eleven Cases of Ruptured Kidney , J. Urol. 18:131, 1928. 48. Fox, O. E.: Ruptured Kidney Due to Muscular Action , Atlantic M. J. 31:183, 1927. 49. Brown, R.: Spontaneous Rupture of Renal Pelvis , Surg. Clin. North America 10:969, 1930. 50. Tuffier, M.: Hematome sous-peritoneal diffres par rupture spontanei d'un sarcome du rein , Bull. et mém. Soc. d. chirurgiens de Paris 32:692, 1906. 51. Hartmanns, M.: Spontaneous Rupture of Cancer of the Kidney , Bull. et mém. Soc. d. chirurgiens de Paris 32:695, 1906. 52. Barney, J. D., and Mixter, W. J.: Renal Tuberculosis Complicated by Inguinal Renal Fistula, Transverse Myelitis and Renal Calculus , J. Urol. 4:391, 1920. 53. Schwartz, cited by Chazet.15 54. Vright, cited by Weiser.30 55. Broca, C. D., cited by Chazet.15 56. Lucas, cited by Weiser.30 57. Doyen, T. B., cited by Chazet.15 58. McClelland, cited by Morris.3 59. Weeks, S. H., cited by Morris.3 60. Gaston, J. M., cited by Morris.3 61. Whately, F.: Renal Calculus Which was Discharged Through a Fistulous Opening in the Loin , Tr. Path. Soc. London 26:128, 1874-1875. 62. Crabtree, E. G.: Calculous Pyonephrosis with Subdiaphragmatic Abscess , Boston M. & S. J. 196:825, 1927. 63. La Peyre, cited by Morris.3 64. Coupland and Lawton, cited by Morris.3 65. Davis, E. G.: Duodeno-Ureteral Fistula of Spontaneous Origin , J. A. M. A. 70:376 ( (Feb. 9) ) 1918. 66. Greene, L. B.: Uretero-Colonic Fistula , Ann. Surg. 86:130, 1927. 67. Wells, S.: Urinary Calculus Discharged Through the Rectum , Tr. Path. Soc. London 5:202, 1854. 68. Chrzelitzer: Beitrag zur Hämaturie nach Appendizitis , Ztschr. f. Urol. 16:408, 1922. 69. Doering, cited by Weiser.30 70. Casper, L.: Ureteral Fistula and Ureteral Suppurations , Ztschr. f. Urol. 18:545, 1924. 71. Newman, cited by Weiser.30 72. Van Vranken, A. T.: Uretero-Intestinal Fistula as Result of Abdominal Abscess not Due to Appenditicis, with Recovery , Tr. New York M. A. 11:553, 1894. 73. Foster, Pflaum and Sugoi, cited by Weiser.30 74. Mitterstiller, S.: Ueber einem Fall von Entleerung einer Pyonephrose in de Peritonealhohle , Ztschr. f. Urol. 14:168, 1920. 75. Dupuytren, cited by Morris.3 76. Frenkel, cited by Weiser.30 77. Berry, J.: Perforation of Ureter by Calculus: Extravasation of Urine , Brit. J. Surg. 8:372, 1921. 78. Schmidt, H. H.: Perforation of Ureter by Calculous Invisible Roentgenographically and Causing Symptoms Resembling Cancer Uterus , Zentralbl. f. Gynäk. 54:274, 1930. 79. Stevens, A. R.: Diverticulum of Ureter: Acute Inflammation and Spontaneous Perforation , J. Urol. 16:157, 1926. 80. Lindsjö: Case of Pyuria with Unusual Etiology , Acta pædiat. 4:104, 1925. 81. Rathbun, N. P.: Necrosis of the Ureter, Perforation, Peri-Ureteral Abscess , J. Urol. 17:329, 1927. 82. Ottow, B.: Rupture of Abscess of Internal Genitalia into Bladder and Ureter , Zentralbl. f. Gynäk. 53:2551, 1929. 83. Schottelius, M.: Zwei Fälle von einseitiger Hydronephrose (Ureterovesicalfistel) , Virchows Arch. f. path. Anat. 71:268, 1877. 84. Weinzierl, cited by Weiser.30 85. Jurgen, O., cited by Weiser.30 86. Kretchmer, cited by Weiser.30 87. Konwer, cited by Weiser.30 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

SPONTANEOUS RENAL AND URETERAL FISTULAS

Archives of Surgery , Volume 27 (5) – Nov 1, 1933

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References (48)

Publisher
American Medical Association
Copyright
Copyright © 1933 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1933.01170110002001
Publisher site
See Article on Publisher Site

Abstract

Abstract Renal and ureteral fistulas are uncommon, and when encountered usually are the result either of traumatic injuries or of surgical accidents. The spontaneous development of such urinary fistulas is so rare as to demand notation. Cases of nephrocolic, nephroperirenal, nephrochylous, ureterovesicoperitoneal and ureteroperiureteral fistulas have been studied at the Cleveland Clinic, all of which were the result of advanced pathologic processes which permitted the extravasation of urine into the adjacent organs and tissues. Spontaneous renal and ureteral fistulas are unusual; their etiology is interesting, and they present difficult therapeutic problems; hence the following case reports. REPORT OF CASES Case 1. References 1. Lower, W. E., and Belcher, G. W.: Chyluria: With a Report of a Case Treated with Neosalvarsan , Surg., Gynec. & Obst. 39:147, 1924. 2. Hampton, H. H.: Non-Parasitic Haemotochyluria , Bull. Johns Hopkins Hosp. 31:20, 1920. 3. Morris, Henry: Surgical Diseases of Kidney and Ureter , London, Cassell & Co., 1901, vols. 1 and 2. 4. Rayer, cited by Morris.3 5. Chadwick, J. R., cited by Weiser.30 6. Hilgenreiner, cited by Weiser.30 7. Melion, cited by Weiser.30 8. Marquezy, T. P.: Une observation de fistula néphrogastrique, Thèse de Paris, 1856, no. 28, v. 593. 9. Murchison, cited by Weiser.30 10. Richter, cited by Weiser.30 11. Kuster, cited by Weiser.30 12. Riverius: Observationes medicæ et curationes insignes, quibus accesserunt observations ab aliis communicatæ , London, M. Flesher, 1646. 13. Fernelius, cited by Morris.3 14. Rosenbach, O.: Ein Fall von Pyelitis calculosa mit Perforation in das Colon ascendens, Inaug. Dissert., Breslau, 1873. 15. Rayer, cited by Chazet, Gaston: Contribution à l'étude de la tuberculose rénale avec fistules, Thèse de Paris, 1899-1900, no. 374. 16. Bang, B. F. L.: Primaer tuberculose i urogenitalorganerne; kommunikation immellem duodenum og den højere ureter , Hosp.-Tid. Københ. 1:561, 1874. 17. d'Allaines and Rouffiac: Fistule pérenéphrocolique avec lésions inflammataires du rein , Bull. Soc. anat. de Paris 93:324, 1923. 18. Ogle, J. W., cited by Weiser.30 19. Ammundale, cited by Morris.3 20. Dittrich, cited by Weiser.30 21. Cruveilhier, cited by Morris.30 22. Roubier, C.: Tuberculous Kidney-Lung Fistula , J. d'urol 13:195, 1922. 23. Pillet, cited by Weiser.30 24. Hortels, cited by Chazet.15 25. Gordon, S.: Case of Reno-Pulmonary Fistula with Ulceration of Duodenum , Dublin Quart. J. M. Sc. 41:90, 1866. 26. Van der Speck, H.: Uroptysis , Nederl. tijdschr. v. geneesk. 2:1855, 1923. 27. von Deesten, H. T.: Recumbent Posture Cough with Purulent Expectoration; An Indicative Symptom in a Case of Perinephritic Abscess which had Ruptured into a Bronchus , J. A. M. A. 88:98 ( (Jan. 8) ) 1927. 28. Kondratovich, K.: Pyohydronephrosis with Elimination of Urine Through the Bronchus , Med. Obozr., Moscow 51:591, 1899. 29. McDwean, cited by Weiser.30 30. Weiser, A.: Die nichttraumatischen Perforation und Fisteln des Harntrakes , Ztschr. f. urol. Chir. 28:120, 1929. 31. Bennett, cited by Morris.3 32. Taylor, J. W.: Acute Hydronephrosis or Dilatation of the Pelvis of the Left Kidney: Rupture of Sac and Extravasation of Urine into Peritoneal Cavity; Operative Recovery with Rupture into Peritoneal Cavity , Lancet 2:589, 1884. 33. Turner, Phillip: Hydronephrosis of Single Kidney: Spontaneous Rupture into the Peritoneal Cavity , Proc. Roy. Soc. Med. 16:24, 1923. 34. Bazy, cited by LeComte.42 35. Schreuder, O.: Spontaneous Rupture of Hydronephrosis , Deutsche Ztschr. f. Chir. 191:100, 1925. 36. Tschugajeff, cited by Weiser.30 37. Alglave, cited by Weiser.30 38. Maudet, cited by Chazet.15 39. Vanwerts, cited by Weiser.30 40. Van Saar, G.: Ueber Hydronephrosenruptur und den dabei auftretenden Symptomenkomplex , Beitr. z. klin. Chir. 64:316, 1909. 41. Mathe, C. P., and Oviedo, G. F.: Spontaneous Rupture of Hydronephrotic Sax, Secondary to Ureteral Stone , California & West. Med. 26:790, 1927. 42. LeComte, R. M.: Spontaneous Rupture of Hydronephrosis , J. Urol 15:517, 1920. 43. Wood, W. F.: Spontaneous Rupture of Hydronephrosis , Brit. J. Surg. 10:574, 1923. 44. Pachkis, R., cited by Weiser.30 45. Everett, William: Perforation of Kidney by a Large Branched Calculus , Brit. M. J. 1:17, 1925. 46. Turner, Alfred C.: Unusual Case of Urinary Fistula , Lancet 2:220, 1929. 47. Delzell, W. R., and Harrah, Frank W.: Eleven Cases of Ruptured Kidney , J. Urol. 18:131, 1928. 48. Fox, O. E.: Ruptured Kidney Due to Muscular Action , Atlantic M. J. 31:183, 1927. 49. Brown, R.: Spontaneous Rupture of Renal Pelvis , Surg. Clin. North America 10:969, 1930. 50. Tuffier, M.: Hematome sous-peritoneal diffres par rupture spontanei d'un sarcome du rein , Bull. et mém. Soc. d. chirurgiens de Paris 32:692, 1906. 51. Hartmanns, M.: Spontaneous Rupture of Cancer of the Kidney , Bull. et mém. Soc. d. chirurgiens de Paris 32:695, 1906. 52. Barney, J. D., and Mixter, W. J.: Renal Tuberculosis Complicated by Inguinal Renal Fistula, Transverse Myelitis and Renal Calculus , J. Urol. 4:391, 1920. 53. Schwartz, cited by Chazet.15 54. Vright, cited by Weiser.30 55. Broca, C. D., cited by Chazet.15 56. Lucas, cited by Weiser.30 57. Doyen, T. B., cited by Chazet.15 58. McClelland, cited by Morris.3 59. Weeks, S. H., cited by Morris.3 60. Gaston, J. M., cited by Morris.3 61. Whately, F.: Renal Calculus Which was Discharged Through a Fistulous Opening in the Loin , Tr. Path. Soc. London 26:128, 1874-1875. 62. Crabtree, E. G.: Calculous Pyonephrosis with Subdiaphragmatic Abscess , Boston M. & S. J. 196:825, 1927. 63. La Peyre, cited by Morris.3 64. Coupland and Lawton, cited by Morris.3 65. Davis, E. G.: Duodeno-Ureteral Fistula of Spontaneous Origin , J. A. M. A. 70:376 ( (Feb. 9) ) 1918. 66. Greene, L. B.: Uretero-Colonic Fistula , Ann. Surg. 86:130, 1927. 67. Wells, S.: Urinary Calculus Discharged Through the Rectum , Tr. Path. Soc. London 5:202, 1854. 68. Chrzelitzer: Beitrag zur Hämaturie nach Appendizitis , Ztschr. f. Urol. 16:408, 1922. 69. Doering, cited by Weiser.30 70. Casper, L.: Ureteral Fistula and Ureteral Suppurations , Ztschr. f. Urol. 18:545, 1924. 71. Newman, cited by Weiser.30 72. Van Vranken, A. T.: Uretero-Intestinal Fistula as Result of Abdominal Abscess not Due to Appenditicis, with Recovery , Tr. New York M. A. 11:553, 1894. 73. Foster, Pflaum and Sugoi, cited by Weiser.30 74. Mitterstiller, S.: Ueber einem Fall von Entleerung einer Pyonephrose in de Peritonealhohle , Ztschr. f. Urol. 14:168, 1920. 75. Dupuytren, cited by Morris.3 76. Frenkel, cited by Weiser.30 77. Berry, J.: Perforation of Ureter by Calculus: Extravasation of Urine , Brit. J. Surg. 8:372, 1921. 78. Schmidt, H. H.: Perforation of Ureter by Calculous Invisible Roentgenographically and Causing Symptoms Resembling Cancer Uterus , Zentralbl. f. Gynäk. 54:274, 1930. 79. Stevens, A. R.: Diverticulum of Ureter: Acute Inflammation and Spontaneous Perforation , J. Urol. 16:157, 1926. 80. Lindsjö: Case of Pyuria with Unusual Etiology , Acta pædiat. 4:104, 1925. 81. Rathbun, N. P.: Necrosis of the Ureter, Perforation, Peri-Ureteral Abscess , J. Urol. 17:329, 1927. 82. Ottow, B.: Rupture of Abscess of Internal Genitalia into Bladder and Ureter , Zentralbl. f. Gynäk. 53:2551, 1929. 83. Schottelius, M.: Zwei Fälle von einseitiger Hydronephrose (Ureterovesicalfistel) , Virchows Arch. f. path. Anat. 71:268, 1877. 84. Weinzierl, cited by Weiser.30 85. Jurgen, O., cited by Weiser.30 86. Kretchmer, cited by Weiser.30 87. Konwer, cited by Weiser.30

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1933

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