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October 1968

Nephrointestinal Fistula: Reappraisal, Review of Literature, and Report on Two Cases

Author Affiliations

Kansas City, Mo
From the Section of Urology, University of Missouri School of Medicine, Columbia, and Kansas City General Hopsital and Medical Center, Kansas City, Mo.

Arch Surg. 1968;97(4):609-615. doi:10.1001/archsurg.1968.01340040105021

NEPHROINTESTINAL fistula fistula a relatively rare disease. It was described first by Hippocrates in 460 BC as a rupture of a renal abscess into the bowels. In 1841, it was clearly described by Roger as a complication of long-standing renal infection with probably perirenal abscess.

In 1931, Mertz reviewed 29 cases, and more were added to the literature by Vermooten and McKeown; Wesson, Ratcliff, and Barnes; Rohrer and Findlay.1 More recently, Ellik and Getz2 and Rost3 reported three additional cases, and in 1958 Downs4 brought the total number reported to 112.

The reported incidence of nephrointestinal fistula has decreased in the last 20 years. This may be explained by more adequate urologic diagnosis and more efficient treatment of predisposing disease entities.

The youngest patient reported in the literature was 18 months of age; the oldest was 81. The condition is more often encountered in younger or

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