title: Delayed Nephropleural Fistula After Percutaneous Nephrolithotomy.
abstract: Pleural effusions due to pleural injury following supracostal percutaneous nephrolithotomy (PCNL) occur in upwards of 15% of patients; however, these effusions are invariably diagnosed immediately postoperative or during the hospital stay. Herein, we report our initial experience with a delayed nephropleural fistula. A 52-year-old female underwent an uneventful supracostal right PCNL staghorn stone procedure and was discharged on postoperative day 1. She presented to the emergency department 8 days after her original procedure and one day after ureteral stent removal in the office, with right pleural effusion, concomitant contralateral renal colic secondary to migration of a left pelvic stone into her left proximal ureter, and acute renal failure/oliguria. She was treated with right chest tube drainage, bilateral nephrostomy tube placement, and subsequent left holmium laser ureterolithotripsy.
authors: Department of Urology, University of California , Irvine, Orange, California.
authors: Kamaljot S
authors: KS
authors: Kaler
authors: Department of Urology, University of California , Irvine, Orange, California.
authors: Daniel
authors: D
authors: Cwikla
authors: Department of Urology, University of California , Irvine, Orange, California.
authors: Ralph V
authors: RV
authors: Clayman