Nephropleural Fistula

Hyatt, Eddie; Park, Harold S.; Srinivasa, Rajiv N.; Kalva, Sanjeeva P.

doi:10.1016/j.jvir.2017.04.011

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“… 1 There are some known cases of nephropleural fistula after urologic interventions that have been diagnosed by contrast-enhanced CT Scans. 2 However, no fistulae were seen on CT in our case.…”

Section: Discussioncontrasting

confidence: 54%

Case report: Acute dyspnea secondary to urinothorax following ureteroscopy

McLean,

Bartman,

Winton

2023

Urology Case Reports

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Section: Discussioncontrasting

confidence: 54%

Case report: Acute dyspnea secondary to urinothorax following ureteroscopy

McLean,

Bartman,

Winton

2023

Urology Case Reports

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Non-iatrogenic nephro-pleural fistula in a child

Lammers

Roemeling

Verhagen

et al. 2021

Journal of Pediatric Surgery Case Reports

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Nephropleural fistula after supracostal approach for PCNL: report of two cases with review of literature

et al. 2021

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Nephropleural fistula is a rarely encountered complication of percutaneous nephrolithotomy (PCNL). Only 11 cases have been reported in literature to date. Often associated with supracostal punctures, the presentation is frequently delayed. Diagnosis is based on imaging, mainly X-rays and CT along with retrograde pyelography that establishes the fistulous connection. A difficult to diagnose condition, any patient with a supracostal access PCNL who presents with delayed symptoms of breathlessness and has leucocytosis with fluid in the lungs on chest imaging should be suspected to have a nephropleural fistula. The management involves intercostal tube thoracostomy to relieve symptoms and drainage of the operated kidney by double-J stent placement, if not placed already. Prompt recognition and management results in excellent recovery with no sequelae. We present our experience with two such cases and our aim was to familiarise the practising urologist regarding the diagnosis and management of this infrequent condition.

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Nephropleural Fistula

Cited by 3 publications

References 0 publications

Case report: Acute dyspnea secondary to urinothorax following ureteroscopy

Case report: Acute dyspnea secondary to urinothorax following ureteroscopy

Non-iatrogenic nephro-pleural fistula in a child

Nephropleural fistula after supracostal approach for PCNL: report of two cases with review of literature

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