Case of the Month January 2014, page 2

ANSWER: The preferred insertion site for percutaneous nephrostomy tube is in the lower pole posterior calyx. The purpose of this is to minimize interference with vascular structures. Placing the tube in a lower pole posterior calyx reduces the incidence of hemorrhage.

2. What is the anatomic landmark to determine the location of Brodel’s line?
a. ANTERIOR AXILLARY LINE
b. TRANSCAPULAR LINE
c. POSTERIOR AXILLARY LINE
d. NONE OF THESE


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