Document Detail


Pitfalls of subcapsular nephrectomy: report of a case with point of technique to avoid urinary fistula formation.
MedLine Citation:
PMID:  20393246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nephrectomy after pyonephrosis, repeated acute pyelonephritis or chronic pyelonephritis is a challenge for any surgeon, owing to adhesions around the kidney. We encountered an unusual case of post-nephrectomy urinary fistula, as a complication of subcapsular nephrectomy. This occurred as a result of residual renal tissue after nephrectomy, which was subsequently excised using methylene blue as an aid to ensure complete excision. Such a complication has never been reported in existing literature. We reviewed the literature for any such related complications to gather an insight to its occurrence and also present a simple point of technique to avoid such a catastrophe.
Authors:
R Nayyar; P Singh; N P Gupta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of postgraduate medicine     Volume:  56     ISSN:  0022-3859     ISO Abbreviation:  J Postgrad Med     Publication Date:    2010 Jan-Mar
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985196R     Medline TA:  J Postgrad Med     Country:  India    
Other Details:
Languages:  eng     Pagination:  24-6     Citation Subset:  IM    
Affiliation:
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coloring Agents
Humans
Kidney Failure, Chronic / complications,  pathology,  surgery*
Male
Methylene Blue
Nephrectomy / adverse effects*,  methods
Pyelonephritis / complications,  pathology,  surgery*
Tissue Adhesions
Treatment Outcome
Urinary Fistula / etiology*,  prevention & control,  surgery
Chemical
Reg. No./Substance:
0/Coloring Agents; 61-73-4/Methylene Blue
Comments/Corrections
Comment In:
J Postgrad Med. 2010 Jan-Mar;56(1):26-7   [PMID:  20397311 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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