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Nephrobronchial fistula. Case report
M Kyriakopoulos1, P Stathopoulos, A Kourti
1Urology Department of N.I.M.T.S. Hospital, Athens, Greece.
Scandinavian Journal of Urology and Nephrology
|January 1, 1991
Summary
A rare nephrobronchial fistula complicated a 26-year-old woman's staghorn calculus and pyonephrosis. Surgical intervention, including nephrectomy and abscess drainage, led to a full recovery.
Area of Science:
- Nephrology
- Pulmonology
- Infectious Disease
Background:
- A 26-year-old female patient had a six-year history of right staghorn calculus and pyonephrosis.
- This led to a non-functioning right kidney, as indicated by intravenous pyelography.
Observation:
- Chest radiography revealed an elevated right hemidiaphragm and fluid in the right costaphrenic space.
- Intraoperative findings confirmed a nephrobronchial fistula.
Findings:
- The patient underwent a nephrectomy and subdiaphragmatic drainage of a lung abscess.
- Cultures of the abscess pus identified Proteus mirabilis as the causative agent.
Implications:
- This case highlights a rare complication of long-standing kidney stones and infection.
- Successful surgical management of nephrobronchial fistula and associated abscess is demonstrated.
- Prompt diagnosis and intervention are crucial for favorable patient outcomes in complex genitourinary and pulmonary infections.