Pereira João Marco Braz Scarpa Mariano, Antunes Leonardo de Oliveira, Janegitz Laiane Bicho, Pereira Matheus José Maia, Maciel Luiz Carlos, Kobbaz Alberto Kalil
Universidade de Taubaté, Taubaté, SP, Brazil.
Hospital Regional do Vale do Paraíba, Universidade de Taubaté, Taubaté, SP, Brazil.
Einstein (Sao Paulo). 2024 Dec 16;22:eRC1220. doi: 10.31744/einstein_journal/2024RC1220. eCollection 2024.
A nephropulmonary fistula is a rare complication of a non-functioning kidney, associated with a history of infection. Medical literature describes it as an adult disease in the pre-antibiotic era, and nowadays, is a rare complication. This study reports the case of a patient with nephrolithiasis who developed a nephropulmonary fistula resulting in the migration of renal coralliform stones to the lung parenchyma. The treatment included posterior mini-thoracotomy with partial costectomy of the 9th right costal arch, pneumonotomy for the lung abscess, stone removal, abscess drainage with a Foley probe, and pleural drainage with a tubular drain.
肾肺瘘是无功能肾的一种罕见并发症，与感染史有关。医学文献将其描述为抗生素时代之前的一种成人疾病，如今是一种罕见的并发症。本研究报告了一例肾结石患者发生肾肺瘘，导致肾珊瑚状结石迁移至肺实质的病例。治疗方法包括右第9肋弓后外侧小切口开胸术并部分切除第9肋弓、肺脓肿切开排脓、取石、用Foley导尿管进行脓肿引流以及用管状引流管进行胸腔引流。
