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Nephrobronchial fistula a case report and review of the literature

Nephrobronchial fistula is an extremely rare complications of renal infections. We present a case of nephrobronchial fistula in a middle age immunocompetent woman who complained cough and weight loss, with underlying asymptomatic nephrolithiasis. She underwent a chest X-ray that showed left lower lo...

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Autores principales: Tamburrini, Stefania, Fiorini, Valeria, Lugarà, Marina, Napodano, Giorgio, Del Biondo, Dario, Squame, Fiorenzo, Sarti, Giuseppe, Quassone, Pasquale, Coppola, Maria Gabriella, Iannuzzi, Michele, Di Stasio, Mario, Shatalova, Olena, Marano, Ines, Cagini, Lucio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8440951/
https://www.ncbi.nlm.nih.gov/pubmed/34539942
http://dx.doi.org/10.1016/j.radcr.2021.08.025
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author Tamburrini, Stefania
Fiorini, Valeria
Lugarà, Marina
Napodano, Giorgio
Del Biondo, Dario
Squame, Fiorenzo
Sarti, Giuseppe
Quassone, Pasquale
Coppola, Maria Gabriella
Iannuzzi, Michele
Di Stasio, Mario
Shatalova, Olena
Marano, Ines
Cagini, Lucio
author_facet Tamburrini, Stefania
Fiorini, Valeria
Lugarà, Marina
Napodano, Giorgio
Del Biondo, Dario
Squame, Fiorenzo
Sarti, Giuseppe
Quassone, Pasquale
Coppola, Maria Gabriella
Iannuzzi, Michele
Di Stasio, Mario
Shatalova, Olena
Marano, Ines
Cagini, Lucio
author_sort Tamburrini, Stefania
collection PubMed
description Nephrobronchial fistula is an extremely rare complications of renal infections. We present a case of nephrobronchial fistula in a middle age immunocompetent woman who complained cough and weight loss, with underlying asymptomatic nephrolithiasis. She underwent a chest X-ray that showed left lower lobe infiltrate and abdominal ultrasound. Abdominal ultrasound showed a complicated pyonephrosis ; CT of chest-abdomen-pelvis with intravenous contrast was performed in order to stage and define the extension of the pathology. At CT, a suspected diagnosis of stage III xanthogranulomatous pyelonephritis complicated with pyonephrosis and a nephrobronchial fistula was formulated. A nephrostomy tube was placed, and the patient was treated with antibiotics. Follow up CT, performed after 15 days, showed the healing of the fistulous connection between the perinephric abscess and bronchi; the patient underwent nephrectomy with no airway complication during intubation. Histopathological diagnosis confirmed the presence on complicated xanthogranulomatous pyelonephritis.
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spelling pubmed-84409512021-09-17 Nephrobronchial fistula a case report and review of the literature Tamburrini, Stefania Fiorini, Valeria Lugarà, Marina Napodano, Giorgio Del Biondo, Dario Squame, Fiorenzo Sarti, Giuseppe Quassone, Pasquale Coppola, Maria Gabriella Iannuzzi, Michele Di Stasio, Mario Shatalova, Olena Marano, Ines Cagini, Lucio Radiol Case Rep Case Report Nephrobronchial fistula is an extremely rare complications of renal infections. We present a case of nephrobronchial fistula in a middle age immunocompetent woman who complained cough and weight loss, with underlying asymptomatic nephrolithiasis. She underwent a chest X-ray that showed left lower lobe infiltrate and abdominal ultrasound. Abdominal ultrasound showed a complicated pyonephrosis ; CT of chest-abdomen-pelvis with intravenous contrast was performed in order to stage and define the extension of the pathology. At CT, a suspected diagnosis of stage III xanthogranulomatous pyelonephritis complicated with pyonephrosis and a nephrobronchial fistula was formulated. A nephrostomy tube was placed, and the patient was treated with antibiotics. Follow up CT, performed after 15 days, showed the healing of the fistulous connection between the perinephric abscess and bronchi; the patient underwent nephrectomy with no airway complication during intubation. Histopathological diagnosis confirmed the presence on complicated xanthogranulomatous pyelonephritis. Elsevier 2021-09-08 /pmc/articles/PMC8440951/ /pubmed/34539942 http://dx.doi.org/10.1016/j.radcr.2021.08.025 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tamburrini, Stefania
Fiorini, Valeria
Lugarà, Marina
Napodano, Giorgio
Del Biondo, Dario
Squame, Fiorenzo
Sarti, Giuseppe
Quassone, Pasquale
Coppola, Maria Gabriella
Iannuzzi, Michele
Di Stasio, Mario
Shatalova, Olena
Marano, Ines
Cagini, Lucio
Nephrobronchial fistula a case report and review of the literature
title Nephrobronchial fistula a case report and review of the literature
title_full Nephrobronchial fistula a case report and review of the literature
title_fullStr Nephrobronchial fistula a case report and review of the literature
title_full_unstemmed Nephrobronchial fistula a case report and review of the literature
title_short Nephrobronchial fistula a case report and review of the literature
title_sort nephrobronchial fistula a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8440951/
https://www.ncbi.nlm.nih.gov/pubmed/34539942
http://dx.doi.org/10.1016/j.radcr.2021.08.025
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