CTICasesIatrogenic Pleuro-Renal Fistula
Imaging findings
CT chest and abdomen show a massive accumulation of contrast material within the right pleural space, which communicates directly with the right kidney via a diaphragmatic tract post-intervention.
Key takeaways
Percutaneous interventions on the upper pole of the kidney (such as for staghorn calculi) carry a risk of diaphragmatic and pleural transgression. This can result in an iatrogenic pleuro-renal fistula, leading to rapid accumulation of urine or contrast material (urinothorax/chylothorax) in the pleural cavity.
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