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#ImageChallenge - Retrograde pyelogram confirmed a pyeloduodenal fistula! Open nephrectomy, Roux-en-Y duodenojejunostomy with loop gastrojejunostomy were performed. Intra-op the fistula was identified with a traversing ureteric stent. See full paper here

https://siuj.org/index.php/siuj/article/view/133/53?fbclid=IwAR00dt3-b8Ss1SSFfMqQrlav3CoHikXquqXsRfQM1eqEf9Ps3Q3SjevLD6I