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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 56, No. 1, 2010, pp. 24-26
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Bioline Code: jp10007
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 56, No. 1, 2010, pp. 24-26
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Pitfalls of subcapsular nephrectomy: Report of a case with point of technique to avoid urinary fistula formation
Nayyar, R.; Singh, P. & Gupta, N. P.
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.
Keywords
Methylene blue, nephrectomy, subcapsular nephrectomy, urinary fistula
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