Nephropleural Fistula after Percutaneous Nephrolithotomy: Diagnosis and Management

Authors

  • Heonseok M. Lee Department of Radiology, the University of California San Diego, CA, USA
  • Alton Skaggs Department of Radiology, the University of California San Diego, CA, USA
  • Khalid Almohaideb Department of Radiology, the University of California San Diego, CA, USA
  • Edward Smitaman Department of Radiology, the University of California San Diego, 408 Dickinson Street, Mail code 8226, San Diego, CA 92103, USA,

DOI:

https://doi.org/10.3941/jrcr.5371

Abstract

Nephropleural fistula is a rare abnormal connection between the renal collecting system and pleural cavity. It may occur secondarily to a percutaneous renal intervention, renal abscess, trauma, urinary obstruction, or renal malignancy. Percutaneous intervention is the most common cause of nephropleural fistula. Herein, we describe a case of nephropleural fistula occurring after percutaneous nephrolithotomy to raise clinicoradiologic awareness of this rare entity and complication.

Coronal non-contrast CT MIP in bone window demonstrates original staghorn calculus (encircled in white) within the right renal collecting system.

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Published

2024-07-30

Issue

Section

Emergency Radiology