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Renopleural fistula after percutaneous nephrolithotomy
J Palou Redorta1, J M Banús Gassol, A Prera Vilaseca
1Urology Department, Hospital General Vall d'Hebron, Barcelona, Spain.
Urologia Internationalis
|January 1, 1988
Summary
A rare renopleural fistula developed in a 42-year-old female after percutaneous nephrolithotomy. This complication was successfully treated using a chest tube and a double-J ureteral catheter.
Area of Science:
- Urology
- Thoracic Surgery
- Nephrology
Background:
- Percutaneous nephrolithotomy is a common procedure for kidney stone removal.
- Complications, though rare, can occur, necessitating prompt management.
- Renopleural fistula is an uncommon but serious adverse event.
Observation:
- A 42-year-old female patient developed a renopleural fistula.
- The fistula occurred after percutaneous nephrolithotomy targeting upper pole right kidney stones via the 11th intercostal space.
- The fistula involved communication between the kidney and the pleural space.
Findings:
- The renopleural fistula was diagnosed and managed effectively.
- Treatment involved the insertion of a chest tube to drain the pleural space.
- A double-J ureteral catheter was placed to facilitate urinary drainage and healing.
Implications:
- This case highlights the importance of recognizing and managing renopleural fistulas.
- Minimally invasive treatment strategies can be successful for this rare complication.
- Understanding potential iatrogenic injuries is crucial for procedural safety in nephrolithotomy.