Nephrobronchial fistula a case report and review of the literature

Stefania Tamburrini, MD; Valeria Fiorini, MD; Marina Lugarà, MD; Giorgio Napodano, MD; Dario Del Biondo, MD; Fiorenzo Squame, MD; Giuseppe Sarti, MD; Pasquale Quassone, MD; Maria Gabriella Coppola, MD; Michele Iannuzzi, MD; Mario Di Stasio, MD; Olena Shatalova, MD; Ines Marano; Lucio Cagini

Radiology Case Reports (Nov 2021)

Nephrobronchial fistula a case report and review of the literature

Stefania Tamburrini, MD,
Valeria Fiorini, MD,
Marina Lugarà, MD,
Giorgio Napodano, MD,
Dario Del Biondo, MD,
Fiorenzo Squame, MD,
Giuseppe Sarti, MD,
Pasquale Quassone, MD,
Maria Gabriella Coppola, MD,
Michele Iannuzzi, MD,
Mario Di Stasio, MD,
Olena Shatalova, MD,
Ines Marano,
Lucio Cagini

Affiliations

Stefania Tamburrini, MD: Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy; Corresponding author.
Valeria Fiorini, MD: Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Marina Lugarà, MD: Department of Internal Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Giorgio Napodano, MD: Department of Urology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Dario Del Biondo, MD: Department of Urology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Fiorenzo Squame, MD: Department of Nuclear Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Giuseppe Sarti, MD: Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Pasquale Quassone, MD: Department of Radiology, ''Università degli Studi della Campania Luigi Vanvitelli'', Naples, Italy
Maria Gabriella Coppola, MD: Department of Internal Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Michele Iannuzzi, MD: Department of Anesthesiology and Intensive Care, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Mario Di Stasio, MD: Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Olena Shatalova, MD: Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Ines Marano: Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
Lucio Cagini: Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy

Journal volume & issue: Vol. 16, no. 11
pp. 3470 – 3477

Abstract

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Nephrobronchial fistula is an extremely rare complications of renal infections. We present a case of nephrobronchial fistula in a middle age immunocompetent woman who complained cough and weight loss, with underlying asymptomatic nephrolithiasis. She underwent a chest X-ray that showed left lower lobe infiltrate and abdominal ultrasound. Abdominal ultrasound showed a complicated pyonephrosis ; CT of chest-abdomen-pelvis with intravenous contrast was performed in order to stage and define the extension of the pathology. At CT, a suspected diagnosis of stage III xanthogranulomatous pyelonephritis complicated with pyonephrosis and a nephrobronchial fistula was formulated. A nephrostomy tube was placed, and the patient was treated with antibiotics. Follow up CT, performed after 15 days, showed the healing of the fistulous connection between the perinephric abscess and bronchi; the patient underwent nephrectomy with no airway complication during intubation. Histopathological diagnosis confirmed the presence on complicated xanthogranulomatous pyelonephritis.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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