[Spontaneous pneumopyelography for enteroureteral XXXX ].

@entity1 @entity5 @entity1066 @entity812 @entity30 @entity292 @entity4436 @entity9132 @entity1791 @entity221
OBJECTIVES: To report one outstanding case of @entity221 and @entity812 with the radiologic finding of air outlining the whole left upper urinary tract (pneumopyelography). METHODS: The @entity1 subject of this case had a history of gynaecologic surgery five years before presentation and subsequent @entity4436 one year later requiring discharge colostomy followed by reconstruction 7 months later. We performed a MEDLINE search using the terms " @entity9132 ". Most papers are case reports with reviews of the diagnostic and therapeutic procedures, as well as the etiologic factors. RESULTS: Radiologic tests are key to make this finding clear and to determine its location. In our @entity1 , once the acute picture was controlled and the confirmatory diagnosis was made by means of barium enema, we proceeded with left simple nephrectomy and lower intestine resection including the @entity292 tract. Real incidence is unknown; there is a female predominance in the published cases. Depending on the casual mechanism, they may be classified as spontaneous or traumatic. Most of them are secondary to bowel inflammatory diseases like @entity4436 , @entity30 , @entity5 , @entity1066 ,... They can also be secondary to impacted @entity1791 , @entity5 , endoscopic procedures, etc. Other cases are secondary to previous surgery and radiotherapy. CONCLUSIONS: The finding of pneumopyelogram should prompt and interventional algorithm including radiologic tests and other examinations to allow a proper diagnosis and to perform an effective treatment.
