Journal of Postgraduate Medicine
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Year : 2010  |  Volume : 56  |  Issue : 1  |  Page : 24-26

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

Department of Urology, All India Institute of Medical Sciences, New Delhi-110 029, India

Correspondence Address:
R Nayyar
Department of Urology, All India Institute of Medical Sciences, New Delhi-110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0022-3859.62433

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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.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow