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Pitfalls of subcapsular nephrectomy: report of a case with point of technique to avoid urinary fistula formation.

Abstract
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.
AuthorsR Nayyar, P Singh, N P Gupta
JournalJournal of postgraduate medicine (J Postgrad Med) 2010 Jan-Mar Vol. 56 Issue 1 Pg. 24-6 ISSN: 0972-2823 [Electronic] India
PMID20393246 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Coloring Agents
  • Methylene Blue
Topics
  • 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)

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