Bougie-associated bronchial injury complicated by a nephropleural fistula after percutaneous nephrolithotomy: a tale of two complications. (17th April 2018)

• Record Type: Journal Article
• Authors: Pande, Aparna; Ramachandran, Rashmi; Rewari, Vimi
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-04-17
• Subjects: anaesthesia -- urological surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-223969
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a case of bronchial injury following bougie-assisted endotracheal intubation in a patient with difficult airway scheduled to undergo right percutaneous nephrolithotomy under general anaesthesia. The patient developed pleuritic pain along with right pleural effusion on the third postoperative day which was diagnosed by the anaesthesiologist who was following up the patient for airway trauma-associated complications. However, the patient was diagnosed to have a nephropleural fistula, a rare complication of supracostal access to percutaneous nephrolithotomy, which was managed successfully.