Renopleural Fistula after Percutaneous Nephrolithotomy

Abstract

We present here a 42-year-old femal who developed a renopleural fistula after a percutaneous nephrolithotomy through the 11th intercostal space of a calculus of the upper calyces of the right kidney. The fistula was resolved with a chest tube and a double-J ureteral catheter.

Life-threatening Biliary Complications after Percutaneous Nephro-Lithotomy: a Case Report

“…PATTERSON et al reviewed 1,032 PCNL procedures reporting an incidence of documented or presumed vascular injury as low as 0.9% (4). REDORTA et al described the occurrence of renopleural fistula after percutaneous nephrolitotomy (5). Small bowel, duodenal, colon injury and cecal fistulas have been described managed conservatively or by surgery (6).…”

Unilateral Urinothorax Due to Nephropleural Fistula Detected on Tc-99m Diethylenetriamine Pentaacetic Acid Renal Scintigraphy

“…[2][3][4] Urinothorax should be considered when pleural effusion occurs in a patient with urinary tract obstruction or after blunt injury. 1,[5][6][7][8] The diagnosis of urinothorax can be obtained by the biochemical characteristics of the pleural fluid. 1,5,6 Tc-99m DTPA renal imaging has been used to demonstrate the nephropleural fistula.…”

Complications of Urinary Stone Surgery

“…A renopleural fistula is suspected when there is continuous pleural effusion after chest tube drainage. This can be resolved by placing a ureteral double-J stent (207). Postoperative pain management and incentive spirometry are essential after PCNL to allow the patient to breathe deeply and reduce the risk of atelectasis and associated febrile episodes.…”