Fístula nefrobronquial en paciente pediátrico. Caso clínico

Translated title of the contribution: Nephrobronchial fistula in pediatric patient. Case report

Daniela Arriagada S, Alejandro Donoso F, Pablo Cruces R, Jaime Verdugo B

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Nephrobronchial fistula is a rare complication of kidney infections, usually occurring in adult patients with xanthogranulomatous pyelonephritis and very occasionally in children. We reported a 12-year-old girl, with a history of myelomeningocele and recurrent urinary tract infection, who presented with a four-week fever, cough and dyspnea, developing septic shock and presenting flood of airway by pus which caused cardiac arrest. A diagnosis of left perirenal extensive collection was established by abdominal computed tomography (CT). The patient first had antibiotic therapy and percutaneous drainage was performed draining pus and air. Thoracic and abdominal CT scan was performed corroborating transdiaphragmatic fistula. Total nephrectomy was performed. The patient showed gradual improvement after surgery and total regression of symptoms. Pathologic examination concluded chronic pyelonephritis. This case report illustrates a rare complication in children, the importance of early diagnosis of urinary tract infection in patients with comorbidities and of exhibiting a high index of suspicion to a potentially lethal complication.

Translated title of the contributionNephrobronchial fistula in pediatric patient. Case report
Original languageSpanish
Pages (from-to)e156-e159
JournalArchivos Argentinos de Pediatria
Issue number4
Publication statusPublished - Aug 2014

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


Dive into the research topics of 'Nephrobronchial fistula in pediatric patient. Case report'. Together they form a unique fingerprint.

Cite this