Baralo Bohdan, Voznyuk Tetiana, Mitiuk Bohdan, Poteha Yuriy, Baralo Raisa, Kryvetskyi Volodymyr, Korman Michael, Baralo Ihor
Department of Internal Medicine, Mercy Catholic Medical Center, Darby, Pennsylvania.
Department of Surgery and Urology, National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Proc (Bayl Univ Med Cent). 2022 Dec 2;36(2):228-230. doi: 10.1080/08998280.2022.2146932. eCollection 2023.
We report a case of nephrobronchial fistula complicated by the development of a broncholith within the lung, which led to hemoptysis and blood loss anemia. A 71-year-old man with a medical history of untreated urinary stones was admitted for flank pain, hemoptysis, blood loss anemia, and exacerbation of chronic pyelonephritis. Computed tomography showed staghorn calculi, terminal hydronephrosis, xanthogranulomatous pyelonephritis of the left kidney, nephrobronchial fistula, and large intraparenchymal pulmonary calcification. Surgical treatment was performed in two steps: nephrectomy and then left lower lobectomy. Pathological findings were suggestive of chronic inflammatory changes.
我们报告一例肾支气管瘘合并肺内支气管结石形成的病例，该病例导致咯血和失血性贫血。一名有未治疗尿路结石病史的71岁男性因胁腹痛、咯血、失血性贫血和慢性肾盂肾炎加重入院。计算机断层扫描显示鹿角形结石、终末期肾积水、左肾黄色肉芽肿性肾盂肾炎、肾支气管瘘和肺实质内大量钙化。分两步进行手术治疗：肾切除术，然后左肺下叶切除术。病理结果提示慢性炎症改变。
