We report the management of a nephroenteric fistula with percutaneous fulgu
ration in a patient with recurrent pyelonephritis and urolithiasis. A nephr
ostogram at 6 weeks and retrograde pyelogram at 18 weeks after fulguration
showed no evidence of a recurrent fistula. We believe this to be the first
reported case of a nephroenteric fistula treated successfully with fulgurat
ion.