A renopleural fistula was detected on a Tc-99m DTPA renal study during evaluation for possible post-traumatic urinoma.
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Urinothorax: rare complication of percutaneous nephrolithotomy. Case report.
Cir Cir
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Servicio de Cirugía General, Hospital Clínico Quirúrgico Hermanos Ameijeiras, Universidad de Ciencias Médicas de la Habana, La Habana, Cuba.
Urinothorax is an unusual cause of pleural effusion. To describe a case with urinothorax secondary to urinary system trauma. 41-year-old male readmitted to our hospital 16 days after a right percutaneous nephrolithotomy with fever, shortness of breath, chest pain and multiloculated pleural effusion confirmed by CT scan, resolved with surgical treatment.
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J Endourol
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Background And Purpose: During percutaneous renal surgery, subcostal access is preferred because it carries no risk of injury to either the lungs or pleura. However, in some situations, a supracostal approach may provide more direct access and achieve a more satisfactory result than the subcostal approach. In this prospective study, we evaluated the safety and efficacy of supracostal approaches in percutaneous renal surgery.
View Article and Find Full Text PDFA case is presented of renopleural fistula secondary to xantogranulomatous pyelonephritis in an 18-year-old female patient. Although the renopleural communication was not observed radiologically, concomitant clinical signs, bacteriological isolation of E. coli in renal and pleural content and surgical findings, confirmed the existence of such fistula.
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