Intrapleural t-PA therapy for loculated pleural effusion arising after percutaneous nephrolithotripsy: a case report.

Fernando C Delvecchio, Mary K Hall, Steven Farber

Urology Service, James A. Haley VAMC, Tampa, FL 33612, USA. Fernando.coste-delvecchio@va.gov

Urology 2012 Oct

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Pleural complications from upper pole percutaneous renal access for lithotripsy occur infrequently and are managed minimally invasively with urinary diversion (double-J stent or nephrostomy) and chest tube placement. However, sometimes the pleural effusion may evolve into an empyema that requires open or thoracoscopic decortication. We present a novel approach in which topical fibrinolytic therapy was used to successfully resolve a symptomatic, nonresolving (despite antibiotic treatment and a properly positioned chest tube), loculated pleural effusion arising post percutaneous nephrolithotripsy. Published by Elsevier Inc.

Citation

Fernando C Delvecchio, Mary K Hall, Steven Farber. Intrapleural t-PA therapy for loculated pleural effusion arising after percutaneous nephrolithotripsy: a case report. Urology. 2012 Oct;80(4):e41-2