title: Pitfalls of subcapsular nephrectomy: report of a case with point of technique to avoid urinary fistula formation.
abstract: Nephrectomy after pyonephrosis, repeated acute pyelonephritis or chronic pyelonephritis is a challenge for any surgeon, owing to adhesions around the kidney. We encountered an unusual case of post-nephrectomy urinary fistula, as a complication of subcapsular nephrectomy. This occurred as a result of residual renal tissue after nephrectomy, which was subsequently excised using methylene blue as an aid to ensure complete excision. Such a complication has never been reported in existing literature. We reviewed the literature for any such related complications to gather an insight to its occurrence and also present a simple point of technique to avoid such a catastrophe.
authors.affiliation: Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: R
authors.initials: R
authors.lastname: Nayyar
authors.forename: P
authors.initials: P
authors.lastname: Singh
authors.forename: N P
authors.initials: NP
authors.lastname: Gupta
mesh_terms: D000328:Adult; D004396:Coloring Agents; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D008751:Methylene Blue; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D011704:Pyelonephritis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000267:Tissue Adhesions; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery
chemical_list: D004396:Coloring Agents; D008751:Methylene Blue