Academic Journal

Nephropleural Fistula as a Rare Complication of Nephrolithiasis: A Case Report and Literature Review.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Nephropleural Fistula as a Rare Complication of Nephrolithiasis: A Case Report and Literature Review.
Συγγραφείς: Kayalı Y; Department of Urology, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey.
Πηγή: Nigerian journal of clinical practice [Niger J Clin Pract] 2026 Aug 01; Vol. 29 (8), pp. 949-952. Date of Electronic Publication: 2026 Aug 26.
Τύπος έκδοσης: Journal Article; Case Reports; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Medknow Publications Country of Publication: India NLM ID: 101150032 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1119-3077 (Print) NLM ISO Abbreviation: Niger J Clin Pract Subsets: MEDLINE
Imprint Name(s): Publication: Mumbai : Medknow Publications
Original Publication: [Lagos?] : Medical and Dental Consultants' Association of Nigeria
Ιατρικοί όροι (MeSH): Urinary Fistula*/etiology , Urinary Fistula*/diagnosis , Urinary Tract Infections*/complications , Nephrolithiasis*/complications , Nephrolithiasis*/surgery, Nephrolithotomy, Percutaneous/adverse effects ; Humans ; Male
Περίληψη: Nephropleural fistula (NPF) is an exceptionally rare yet clinically significant complication that typically arises in the context of severe urinary tract infections or following percutaneous nephrolithotomy. We describe a case of NPF secondary to a complicated urinary tract infection, outlining its clinical course, diagnostic challenges, and therapeutic management. This report highlights the importance of early recognition and appropriate interventions to prevent the morbidity associated with this unusual entity.
(Copyright © 2026 Nigerian Journal of Clinical Practice.)
References: Manier SM, Blue PW, Ghaed N. Radionuclide demonstration of a renopleural fistula following trauma. Clin Nucl Med 1986;11:870-1.
Krivitskii DI, Mukhin VP, Maksimchuk VD, Puzhailo VI. Renopleural fistula of tuberculous etiology in calculous pyonephrosis. Klin Khir 1987. p. 57.
Palou Redorta J, Banus Gassol JM, Prera Vilaseca A, Ramon Dalmau M, Morote Robles J, Ahmad Wahad A. Renopleural fistula after percutaneous nephrolithotomy. Urol Int 1988;43:104-6.
Fernandez Garcia JS, Garcia Aguayo FJ, Llopis Cartagena M, Carratala Torregrosa JA, Botella Almodovar R. Renopleural fistula secondary to xanthogranulomatous pyelonephritis. Actas Urol Esp 1989;13:45-8.
Munver R, Delvecchio FC, Newman GE, Preminger GM. Critical analysis of supracostal access for percutaneous renal surgery. J Urol 2001;166:1242-6.
Lallas CD, Delvecchio FC, Evans BR, Silverstein AD, Preminger GM, Auge BK. Management of nephropleural fistula after supracostal percutaneous nephrolithotomy. Urology 2004;64:241-5.
Jones GH, Kalaher HR, Misra N, Curtis J, Parker RJ. Empyema and respiratory failure secondary to nephropleural fistula caused by chronic urinary tract infection: A case report. Case Rep Pulmonol 2012;2012:595402.
Tamburrini S, Lugarà M, Saturnino PP, Ferrandino G, Quassone P, Leboffe S, et al. Pleural empyema secondary to nephropleural fistula in complicated pyonephrosis. Radiol Case Rep 2021;16:2714-8. Erratum in: Radiol Case Rep 2023;18:2056.
Lee GY, Moon SK, You MW, Lim JW. A case of xanthogranulomatous pyelonephritis with nephropleural fistula formation: Role of MRI in diagnosis and treatment. Korean J Radiol 2021;82:475-80.
Ahmed O, See XY, Eid F, Zambon M. Empyema complicated with nephropleural fistula and perinephric abscess. BMJ Case Rep 2024;17:e259015.
Contributed Indexing: Keywords: Case report; nephrolithiasis; nephropleural fistula; rare complication; urinary tract infection
Entry Date(s): Date Created: 20260831 Date Completed: 20260831 Latest Revision: 20260910
Update Code: 20260911
DOI: 10.4103/njcp.njcp_609_25
PMID: 42671452
Βάση Δεδομένων: MEDLINE
FullText Text:
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  Data: Nephropleural Fistula as a Rare Complication of Nephrolithiasis: A Case Report and Literature Review.
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  Data: <searchLink fieldCode="AU" term="%22Kayalı+Y%22">Kayalı Y</searchLink>; Department of Urology, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey.
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  Data: <searchLink fieldCode="JN" term="%22101150032%22">Nigerian journal of clinical practice</searchLink> [Niger J Clin Pract] 2026 Aug 01; Vol. 29 (8), pp. 949-952. <i>Date of Electronic Publication: </i>2026 Aug 26.
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  Data: Journal Article; Case Reports; Review
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  Data: English
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Medknow+Publications%22">Medknow Publications </searchLink><i>Country of Publication: </i>India <i>NLM ID: </i>101150032 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1119-3077 (Print) <i>NLM ISO Abbreviation: </i>Niger J Clin Pract <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: Mumbai : Medknow Publications<br /><i>Original Publication</i>: [Lagos?] : Medical and Dental Consultants' Association of Nigeria
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Urinary+Fistula%22">Urinary Fistula*</searchLink>/<searchLink fieldCode="MM" term="%22Urinary+Fistula+etiology%22">etiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Urinary+Fistula%22">Urinary Fistula*</searchLink>/<searchLink fieldCode="MM" term="%22Urinary+Fistula+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Urinary+Tract+Infections%22">Urinary Tract Infections*</searchLink>/<searchLink fieldCode="MM" term="%22Urinary+Tract+Infections+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Nephrolithiasis%22">Nephrolithiasis*</searchLink>/<searchLink fieldCode="MM" term="%22Nephrolithiasis+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Nephrolithiasis%22">Nephrolithiasis*</searchLink>/<searchLink fieldCode="MM" term="%22Nephrolithiasis+surgery%22">surgery</searchLink><br /><searchLink fieldCode="MH" term="%22Nephrolithotomy%2C+Percutaneous%22">Nephrolithotomy, Percutaneous</searchLink>/<searchLink fieldCode="MH" term="%22Nephrolithotomy%2C+Percutaneous+adverse+effects%22">adverse effects</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Nephropleural fistula (NPF) is an exceptionally rare yet clinically significant complication that typically arises in the context of severe urinary tract infections or following percutaneous nephrolithotomy. We describe a case of NPF secondary to a complicated urinary tract infection, outlining its clinical course, diagnostic challenges, and therapeutic management. This report highlights the importance of early recognition and appropriate interventions to prevent the morbidity associated with this unusual entity.<br /> (Copyright © 2026 Nigerian Journal of Clinical Practice.)
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Manier SM, Blue PW, Ghaed N. Radionuclide demonstration of a renopleural fistula following trauma. Clin Nucl Med 1986;11:870-1.<br />Krivitskii DI, Mukhin VP, Maksimchuk VD, Puzhailo VI. Renopleural fistula of tuberculous etiology in calculous pyonephrosis. Klin Khir 1987. p. 57.<br />Palou Redorta J, Banus Gassol JM, Prera Vilaseca A, Ramon Dalmau M, Morote Robles J, Ahmad Wahad A. Renopleural fistula after percutaneous nephrolithotomy. Urol Int 1988;43:104-6.<br />Fernandez Garcia JS, Garcia Aguayo FJ, Llopis Cartagena M, Carratala Torregrosa JA, Botella Almodovar R. Renopleural fistula secondary to xanthogranulomatous pyelonephritis. Actas Urol Esp 1989;13:45-8.<br />Munver R, Delvecchio FC, Newman GE, Preminger GM. Critical analysis of supracostal access for percutaneous renal surgery. J Urol 2001;166:1242-6.<br />Lallas CD, Delvecchio FC, Evans BR, Silverstein AD, Preminger GM, Auge BK. Management of nephropleural fistula after supracostal percutaneous nephrolithotomy. Urology 2004;64:241-5.<br />Jones GH, Kalaher HR, Misra N, Curtis J, Parker RJ. Empyema and respiratory failure secondary to nephropleural fistula caused by chronic urinary tract infection: A case report. Case Rep Pulmonol 2012;2012:595402.<br />Tamburrini S, Lugarà M, Saturnino PP, Ferrandino G, Quassone P, Leboffe S, et al. Pleural empyema secondary to nephropleural fistula in complicated pyonephrosis. Radiol Case Rep 2021;16:2714-8. Erratum in: Radiol Case Rep 2023;18:2056.<br />Lee GY, Moon SK, You MW, Lim JW. A case of xanthogranulomatous pyelonephritis with nephropleural fistula formation: Role of MRI in diagnosis and treatment. Korean J Radiol 2021;82:475-80.<br />Ahmed O, See XY, Eid F, Zambon M. Empyema complicated with nephropleural fistula and perinephric abscess. BMJ Case Rep 2024;17:e259015.
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  Data: <i>Keywords: </i>Case report; nephrolithiasis; nephropleural fistula; rare complication; urinary tract infection
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  Label: Entry Date(s)
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  Data: <i>Date Created: </i>20260831 <i>Date Completed: </i>20260831 <i>Latest Revision: </i>20260910
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  Data: 10.4103/njcp.njcp_609_25
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        Text: English
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        StartPage: 949
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      – SubjectFull: Nephrolithotomy, Percutaneous adverse effects
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Male
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      – SubjectFull: Urinary Fistula etiology
        Type: general
      – SubjectFull: Urinary Fistula diagnosis
        Type: general
      – SubjectFull: Urinary Tract Infections complications
        Type: general
      – SubjectFull: Nephrolithiasis complications
        Type: general
      – SubjectFull: Nephrolithiasis surgery
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              Text: 2026 Aug 01
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