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Case Reports in Urology
Volume 2014, Article ID 513579, 4 pages
http://dx.doi.org/10.1155/2014/513579
Case Report

Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication

1Hospital Prof. Doutor Fernando Fonseca, 2720-276 Amadora, Portugal
2Hospital dos Lusíadas, 1500-458 Lisbon, Portugal

Received 4 April 2014; Accepted 10 June 2014; Published 26 June 2014

Academic Editor: Tun-Chieh Chen

Copyright © 2014 Peter Kronenberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A rare case of perinephric abscess with unilateral secondary pulmonary involvement that was further complicated by spillover of purulent content into the contralateral lung is reported here. Its diagnosis, treatment, and evolution are described and discussed along with certain features of nephropulmonary fistulas. The diagnosis of these abscesses is difficult, largely because of the paucity of primary symptoms and the frequent presence of misleading secondary symptoms. Deceptive cases like this one highlight the importance of its contemplation in every physician’s differential diagnosis.