Smahi M, Kabiri H, Manesouri A, al Aziz A S, Messlout A, Benosman A, Hachimi M
Service de chirurgie thoracique, hôpital Avicenne, Rabat, Maroc.
Ann Urol (Paris). 2000 Dec;34(6):406-9.
Nephrobronchial fistulas following pyonephrosis associated with urolithiasis are a rare occurrence. The possibility of severe problems arising during surgery should be taken into considerations; both the surgeon and the anesthetist should be fully informed of the specific risk factors involved. A favorable outcome mainly depends on the appropriate treatment and timely management of any thoracic complications. Although this rare pathology has been described in detail in the literature, the problems encountered during anesthesia and surgery have not been fully reported. This study therefore provides new data, as a case has been reported of a 38-year old female who underwent surgery for pyonephrosis; disease management and prognosis problems have been discussed.
肾积脓合并尿路结石后出现的肾支气管瘘实属罕见。应考虑到手术过程中出现严重问题的可能性;外科医生和麻醉师都应充分了解所涉及的具体风险因素。良好的结果主要取决于对任何胸部并发症的适当治疗和及时处理。尽管这种罕见的病理情况在文献中已有详细描述,但麻醉和手术过程中遇到的问题尚未得到充分报道。因此,本研究提供了新的数据,因为已报道了一例38岁女性因肾积脓接受手术的病例;并对疾病管理和预后问题进行了讨论。