Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication

A rare case of perinephric abscess with unilateral secondary pulmonary involvement that was further complicated by spillover of purulent content into the contralateral lung is reported here. Its diagnosis, treatment, and evolution are described and discussed along with certain features of nephropulm...

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Main Authors: Peter Kronenberg, Bruno Graça, Manuel Ferreira Coelho
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2014/513579
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author Peter Kronenberg
Bruno Graça
Manuel Ferreira Coelho
author_facet Peter Kronenberg
Bruno Graça
Manuel Ferreira Coelho
author_sort Peter Kronenberg
collection DOAJ
description A rare case of perinephric abscess with unilateral secondary pulmonary involvement that was further complicated by spillover of purulent content into the contralateral lung is reported here. Its diagnosis, treatment, and evolution are described and discussed along with certain features of nephropulmonary fistulas. The diagnosis of these abscesses is difficult, largely because of the paucity of primary symptoms and the frequent presence of misleading secondary symptoms. Deceptive cases like this one highlight the importance of its contemplation in every physician’s differential diagnosis.
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spelling doaj-art-8b779c9370f94d4f858140cdfe2f2ee42025-02-03T01:31:50ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/513579513579Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected ComplicationPeter Kronenberg0Bruno Graça1Manuel Ferreira Coelho2Hospital Prof. Doutor Fernando Fonseca, 2720-276 Amadora, PortugalHospital dos Lusíadas, 1500-458 Lisbon, PortugalHospital dos Lusíadas, 1500-458 Lisbon, PortugalA rare case of perinephric abscess with unilateral secondary pulmonary involvement that was further complicated by spillover of purulent content into the contralateral lung is reported here. Its diagnosis, treatment, and evolution are described and discussed along with certain features of nephropulmonary fistulas. The diagnosis of these abscesses is difficult, largely because of the paucity of primary symptoms and the frequent presence of misleading secondary symptoms. Deceptive cases like this one highlight the importance of its contemplation in every physician’s differential diagnosis.http://dx.doi.org/10.1155/2014/513579
spellingShingle Peter Kronenberg
Bruno Graça
Manuel Ferreira Coelho
Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
Case Reports in Urology
title Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
title_full Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
title_fullStr Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
title_full_unstemmed Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
title_short Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication
title_sort giant nephrothoracic abscess a misleading disease a surgical challenge and an unexpected complication
url http://dx.doi.org/10.1155/2014/513579
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AT brunograca giantnephrothoracicabscessamisleadingdiseaseasurgicalchallengeandanunexpectedcomplication
AT manuelferreiracoelho giantnephrothoracicabscessamisleadingdiseaseasurgicalchallengeandanunexpectedcomplication