| Operative management problems in nephrobronchial fistula. | |
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MedLine Citation:
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PMID: 7222331 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During left subcapsular nephrectomy in a patient with nephrobronchial fistula, the purulent material entered the bronchial tree through the fistulous tracts and flooded the dependent right lung. Patchy atelectasis and later massive consolidation of the lower lobe of the right lung ensued ultimately causing her death. A plea is made to use double-lumen endobronchial tubes for anesthesia to prevent such spillover of purulent secretions to the contralateral lung from the kidney. The fistulous tracts should be divided as the first step during surgery, before mobilization of the kidney. In a suspected case, retrograde pyelography should be done preferably under local or regional anesthesia, so that the patient could cough out the contrast material and purulent secretion that might enter the bronchial tree under pressure during the procedure. |
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Authors:
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M S Rao; B C Bapna; L J Rajendran; V V Shrikhande; A Prasanna; C L Subudhi; S Vaidyanathan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Urology Volume: 17 ISSN: 0090-4295 ISO Abbreviation: Urology Publication Date: 1981 Apr |
Date Detail:
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Created Date: 1981-06-13 Completed Date: 1981-06-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 362-3 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bronchial Fistula / radiography, surgery* Female Fistula / radiography, surgery* Humans Kidney Diseases / radiography, surgery* Nephrectomy Postoperative Complications Urography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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