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Spontaneous pyelo-jejunal fistula.
  1. P. F. Evans
  1. Central Middlesex Hospital, London, UK.


    This case report describes a patient with a spontaneous jejunal fistula. This is a rare type of nephro-intestinal fistula with only two previously recorded similar cases. Our patient presented with such a fistula diagnosed by antegrade pyelography, associated with a staghorn calculus and proven at surgery. The value of antegrade pyelography is discussed along with the treatment options and the outcome to be expected in such patients.

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