We present the case of a patient with nephrocalcinosis and chronic kidney disease who underwent percutaneous nephrostolithotomy via a mid-pole access.
After nephroureteral stent removal, the patient developed a tension hydrothorax due to the rare combination of a nephropleural fistula and ipsilateral distal ureteral obstruction. This complication was managed by percutaneous nephrostomy and thoracostomy placement and subsequent thoracoscopic surgery without further sequelae.
Written by:
Scovell JM, Link RE. Are you the author?
Scott Department of Urology, Baylor College of Medicine, Houston, TX.
Reference: Urology. 2014 Dec;84(6):e28-9.
doi: 10.1016/j.urology.2014.08.009.
PubMed Abstract
PMID: 25440992