Nephrobronchial fistula - a case report.
We report the case of a 58-year-old woman with a hydronephrotic left kidney who presented with a 4-month history of anorexia, weight loss and intermittent left loin pain associated with cloudy urine. Her urine grew lactose fermenting coliforms, and was treated with antibiotics. A computerized axial tomography scan (CT scan) was equivocal and she underwent retrograde ureteric stenting, which drained a pyonephrosis. She went on to develop a chest infection due to a lung abscess. A CT scan revealed a left perinephric collection extending across the diaphragm into the lower lobe of the left lung. She responded to antibiotics and awaits a nephrectomy.
Qazi
H A R
HA
Department of Urology, The Royal Liverpool University Hospital, L7 8XP, Liverpool, United Kingdom.
Manikandan
R
R
Holmes
M E
ME
Philip
J
J
Parsons
K F
KF
D001983:Bronchial Fistula / Q000473:pathology*; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology*; D008875:Middle Aged; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000473:pathology*