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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...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-8440951 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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