Renoalimentary fistulae are rare. When they occur, they are usually between the right renal pelvis and the duodenum. The primary pathology often resides in the kidney, and nephrectomy is frequently necessary in the management of such fistulae.
We describe the case of an elderly man who presented with non-specific abdominal pain. He had a history of peptic ulcer disease, which had been treated with an H<sub>2</sub>-receptor antagonist. He had remained well for the past few years until he recently developed upper abdominal pain.
Subsequent investigations demonstrated a duodeno-ureteric fistula secondary to a chronic duodenal ulcer. The kidney was normal. A Polya gastrectomy was performed, and the patient recovered with complete resolution of his symptoms.
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The author(s) declare there are no affiliations with or involvement in any organisation or entity with any financial interest in the subject matter or materials discussed in this manuscript.
