PMC3890466_01
Antegrade pyelography shows the right pyeloduodenal fistula: (A, B) Leakage of contrast media to the duodenum from the right renal pelvis before endoscopic ligation on pyelography during nephrostomy. (C) No evidence of contrast leakage to the duodenum 1 week after successful endoscopic clipping and snaring.
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F1
PDF was visualized. Pyelography revealed a fistula to the descending part of the duodenum (Fig. 1). Follow-up fistulography was performed after 1 week, and we were able to confirm there was no more leakage (Fig. 1).
Gastroendoscopic findings: (A) Arrow indicates the fistula site in the duodenal 2nd portion, (B) endoscopic finding after clippings of the lesion. (C) Snaring of the fistula site.
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F2
The gastroenterologist discovered PDF in the duodenal second portion and clipped the lesion 4 times (Fig. 2).