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May 25, 1935


JAMA. 1935;104(21):1894-1897. doi:10.1001/jama.1935.92760210001008

A fistulous communication between the duodenum and the pelvis of the right kidney, though described only casually even in the more elaborate treatises on urology, constitutes an extremely rare clinical entity. That its potentiality has been recognized since time immemorial is indicated by the fact that even Hippocrates makes mention of it in his Opera Omnia;yet in all these centuries I have found but three cases recorded in the entire medical literature.

The earliest report is that of Rayer,1 in which he describes the case of Dr. Campaignac: A tailoress, aged 45, was admitted to the hospital, Jan. 10, 1835, and died March 6 of the same year without operation. The duodenorenal communication was discovered at autopsy. Turner2 reports the case of a youth, aged 18, admitted to St. George's Hospital with severe hematuria and advanced tuberculous disease of the lungs. "At autopsy the right

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