Nephropleural fistulae are rare but serious thoracic complications of percutaneous nephrolithotomy (PCNL). Herein, we present the management of a 54-year-old female with a delayed presentation of nephropleural fistula. The role of serial thoracentesis as a safe, less invasive, less painful alternative to tube thoracostomy is highlighted. In select cases, this may represent an attractive management strategy for nephropleural fistula after PCNL.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107665PMC
http://dx.doi.org/10.1089/cren.2016.0102DOI Listing

Publication Analysis

Top Keywords

nephropleural fistula
12
serial thoracentesis
8
nephropleural
4
fistula effectively
4
effectively managed
4
managed serial
4
thoracentesis case
4
case report
4
report nephropleural
4
nephropleural fistulae
4

Similar Publications

Empyema complicated with nephropleural fistula and perinephric abscess.

BMJ Case Rep

October 2024

Division of Pulmonology and Critical Care, Unity Hospital, Rochester Regional Health, Rochester, New York, USA.

Article Synopsis
  • The case report discusses a rare medical situation involving empyema, nephropleural fistula, and perinephric abscess in a 90-year-old female patient presenting with chest pain and a left-sided pleural effusion.
  • Imaging revealed not only the pleural effusion but also a nephropleural fistula and perinephric collection.
  • The patient underwent thoracic surgery, had her kidney removed due to chronic infection, and showed improvement after treatment, ultimately resolving her symptoms two weeks post-discharge.
View Article and Find Full Text PDF

Nephropleural fistula, a rare complication of percutaneous nephrolithotomy (PCNL), occurred in a 45-year-old male with adult autosomal dominant polycystic kidney disease (ADPKD). The patient had undergone right PCNL in 2021 and 2023 and presented to the emergency department with symptoms of fever, breathlessness, and cough lasting one week. Imaging studies, including chest radiograph and contrast-enhanced computed tomography (CECT) of the abdomen and pelvis, revealed gross right pleural effusion, right perinephric abscess, multiple renal cysts, right renal calculi and right ureteric calculi causing severe right hydronephrosis and proximal hydroureter.

View Article and Find Full Text PDF

Percutaneous nephrolithotomy is usually considered as safe and effective in the management of renal stones in pediatric population. Urinothorax defined as presence of urine in pleural cavity is a rare complication of percutaneous nephrolithotomy. We present a rare case of slowly developing urinothorax in a 9-year-old boy following PCNL due to migration of DJ stent into the pleural cavity.

View Article and Find Full Text PDF

Pleural empyema of extra pulmonary origin is uncommon and empyema secondary to a fistula between the urinary tract and thorax is extremely rare. We report a case of nephropleural fistula causing massive pleural empyema in a 64-year-old woman with a long history of urological problems, including nephrolitiasis and urinary tract infection. She was admitted with sepsis, fever, chills, tachypnea, productive cough and pyuria.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!