Work

Laparoscopic treatment of ureteroduodenal fistula: Case report, technique, and review

Year: 2025

Type: article

Abstract: Ureteroduodenal fistula is extremely rare, with fewer than 20 reported cases. We describe a 50-year-old woman with recurrent flank pain and hematuria whose imaging showed proximal ureteral hydronephrosis, a 2-cm stone, and a migrated metallic foreign body. During laparoscopic ureterolithotomy, dense adhesions revealed a fistula caused by transduodenal needle penetration with associated stone formation. Laparoscopic removal of the stone and foreign body, duodenal repair, and ureteral suturing with stent placement were successfully performed. The patient recovered uneventfully and remained asymptomatic at 6 months. This represents the first laparoscopic management of ureteroduodenal fistula, highlighting a safe, kidney-sparing alternative to open surgery.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103331

Authors: Alexandre Saboia Leitão, Marllon Rodrigues Ferreira, Rommel Prata Regadas, Ricardo Reges Maia de Oliveira, Gabriel Silva Lima

Institution: Universidade Federal do Ceará

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160