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Tae Won Lee, Ha Nee Jang, Hyun Seop Cho, See Min Choi, Bong-Hoi Choi, Eunjin Bae, Se-Ho Chang, Dong Jun Park
BACKGROUND: Urinothorax is defined as the presence of urine in the pleural space and is a rather rare cause of transudate pleural effusion. The potential etiologies are urinary tract obstruction and trauma. Diagnosis requires a high index of clinical suspicion and the condition is completely reversible following relief of underlying disease. CASE PRESENTATION: We report a 27-year-old man who developed urinothorax after renal biopsy. Urine leakage was confirmed with 99m Tc DTPA (diethylenetriaminepentacetate) and single-photon emission computed tomography scans and retrograde pyelography...
May 3, 2018: BMC Nephrology
Ruchir Aeron, Sunny Goel, Apul Goel, Vikas Kumar
Urinothorax, an unusual and rare cause of pleural effusion, is usually secondary to urinary obstruction and abdominal trauma. We describe an uncommon case of left-sided urinothorax in a 35-year-old man with diabetes and hypothyroidism associated with an autoimmune disorder without obvious obstructive uropathy. Workup revealed pancytopenia, mild proteinuria, positive anti-nuclear and anti-dsDNA antibodies suggestive of probable systemic lupus erythematosus. Contrast-enhanced CT-chest and abdomen showed hepatosplenomegaly with bilateral renal abscesses and a fistulous connection between left superior calyx and left the pleural cavity...
September 25, 2017: BMJ Case Reports
Adam Austin, Sidharth Navin Jogani, Paul Bradley Brasher, Rahul Gupta Argula, John Terrill Huggins, Amit Chopra
Urinothorax is an uncommon thoracic complication of genitourinary (GU) tract disease, which is most frequently caused by obstructive uropathy, but may also occur as a result of iatrogenic or traumatic GU injury. It is underrecognized because of a perceived notion as to the rarity of the diagnosis and the absence of established diagnostic criteria. Urinothorax is typically described as a paucicellular, transudative pleural effusion with a pleural fluid/serum creatinine ratio >1.0. It is the only transudate associated with pleural fluid acidosis (pH < 7...
July 2017: American Journal of the Medical Sciences
María E Toubes, Adriana Lama, Lucía Ferreiro, Antonio Golpe, José M Álvarez-Dobaño, Francisco J González-Barcala, Esther San José, Nuria Rodríguez-Núñez, Carlos Rábade, Tamara Lourido, Luis Valdés
BACKGROUND: The characteristics of patients with urinothorax (UT) are poorly defined. METHODS: A systematic review was performed searching for studies reporting clinical findings, pleural fluid (PF) characteristics, and the most effective treatment of UT. Case descriptions and retrospective studies were included. RESULTS: The review included 78 studies with a total of 88 patients. Median age was 45 years, male/female ratio was 1.6:1 and in 76% of cases the etiology was trauma...
May 2017: Journal of Thoracic Disease
Muhammad Waqas, Gul Nawaz, Avais Raja, Ijaz Hussain, Muhammad Waqas Iqbal
Urinothorax or presence of urine in pleural cavity is a highly unusual cause of pleural effusion. It is most commonly secondary to genitourinary trauma and obstructive uropathy. We here by present a case of urinothorax secondary to renal stone disease in a 5-year-old child with a solitary functioning kidney.
November 2016: CEN Case Reports
Kathryn Wunderle, Suil Kim, Joseph Chiovaro
No abstract text is available yet for this article.
September 2017: Journal of General Internal Medicine
Deepa Kalikavil Puthenveedu, Natarajan Manickam, Arul Rajamurugan Ponniah Subramanian, Palani Kumar Baluchamy
Urinothorax is a rare condition defined by the presence of urine in the pleural cavity. Here we report a case of a patient with left sided transudative pleural effusion which developed following left adrenalectomy with perisplenic collection. The pleural fluid to serum creatinine ratio was found to be greater than one which confirmed the diagnosis. The objective of this case report was to describe this rare case and to alert the physicians to include urinothorax in their differential diagnosis of transudative pleural effusion especially following abdominal surgery...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
Diana M K Chan, Vincent Y T Cheung
No abstract text is available yet for this article.
July 2016: International Journal of Gynaecology and Obstetrics
Alexander Casallas, Camilo Castañeda-Cardona, Diego Rosselli
Urinothorax, the presence of urine in the pleural space, is a rare cause of pleural effusion, usually associated with obstructive uropathy, or urinary trauma. We present the case of a 3 year-old boy and a systematic review of the literature of the 44 cases encountered. After resection of a Wilm's tumour in the right kidney our patient presented acute respiratory distress associated with radiographically confirmed pleural effusion. With the initial diagnosis of pneumonia or malignant pleural effusion, a closed thoracotomy was performed...
January 2016: Urology Annals
Ahmed M Abdel-Rahman
INTRODUCTION: We report a case in our center of unilateral urinothorax that occurred post percutaneous nephrolithotomy as a rare cause of pleural effusion and acute dyspnea. METHODS: Report of a case. RESULTS: Initial chest CT showed massive left sided pleural effusion from which biochemical investigations revealed exudative effusion and urinothorax. The effusion was drained by central venous pressure catheter and urologic problem was resolved...
July 2017: Clinical Respiratory Journal
Raquel Garcia-Simon, Jesus Hergueta Herrera, Silvia Cañizares Oliver, Fernando Roldan Rivas, Ernesto Fabre González
No abstract text is available yet for this article.
June 2015: Taiwanese Journal of Obstetrics & Gynecology
Yuval Tal, Ido Weinberg, Arie Ben-Yehuda, Mordechai Duvdevani
No abstract text is available yet for this article.
May 2015: Israel Medical Association Journal: IMAJ
R King Gandhi, B Sai Dhandapani, R Chithra Barvadheesh
Isolated diaphragmatic or urinary bladder injuries are uncommon, but rare are combination of these injuries. We report a rare case of urinothorax occurred as a result of combination injury of diaphragm and urinary bladder and our successful laparoscopic only management. A 26-year-old male presented with a history of trauma and features suggestive of bilateral pleural effusion. Radiological investigations revealed diaphragmatic and urinary bladder rupture. Laparoscopic examination of the abdomen confirmed the presence of ruptures and successful repair of both defects were done laparoscopically...
April 2015: Journal of Minimal Access Surgery
Vikrant Ranjan, Santosh Agrawal, Saurabh Sudhir Chipde, Ravi Dosi
Urinothorax is a very rare occurrence of urine in the pleural space. Urinothorax can occur as a consequence to percutaneous nephrolithotomy (PCNL), ureterorenoscopic lithotripsy (URSL) or shock wave lithotripsy (SWL). We herewith report a rare case of Urinothorax in a 35 years old male patient and discuss its current knowhow and clinical management.
January 2015: Journal of Natural Science, Biology, and Medicine
Deepak Batura, Patricia Haylock-Vize, Yaser Naji, Rachel Tennant, Katherine Fawcett
A 64 year-old male with metastatic prostate adenocarcinoma presented with bilateral hydronephrosis and renal impairment. Bilateral percutaneous nephrostomy drainage followed by ante-grade stenting was done. Shortly afterwards, the patient developed an extensive left-sided pleural effusion. His serum creatinine rose and he became anuric. Emergency pleural aspiration and later, pleural drainage were performed. Pleural aspirate was diagnostic of urinothorax and non contrast CT scan demonstrated a left reno-pleural fistula...
January 2014: Journal of Radiology Case Reports
Alka Chandra, Amrendra Pathak, Anu Kapur, Neha Russia, Nikhil Bhasin
A case of massive right pleural effusion in a postoperative patient of percutaneous nephrolithotomy leading to severe respiratory distress is reported. A high degree of clinical suspicion and prompt intervention by insertion of an intercostal drainage tube prevented the patient from going in to respiratory failure. The development of arrhythmias confused the picture increasing the morbidity of the patient. However, the patient was managed in an intensive care unit with intercostal chest tube insertion and antiarrhythmic agents...
May 2014: Indian Journal of Critical Care Medicine
K A Ameer, Renu Thomas, V K Sureshkumar, V Deepak, P Srikanth, P Arjun, Vishak Nair, M I Sahadulla, Mathew Thomas
A case of bilateral, but more of massive right sided transudative pleural effusion associated with bilateral ureteric trauma following laparoscopy for endometriosis is reported. The diagnosis of urinothorax was confirmed by demonstrating a pleural fluid to serum creatinine ratio of greater than one. Management of ureteric injury by insertion of Double J (DJ) stents on both sides resulted in resolution of the pleural effusion.
July 2013: Journal of the Association of Physicians of India
P G Ferreira, F Furriel, A J Ferreira
BACKGROUND: Despite the fact that there are a great number of established etiologies for pleural effusion, there are grounds for believing that there are also causes from unusual pathophysiological mechanisms, seen in certain clinical contexts and from potential iatrogenic interventions. Urinothorax is such a rare type of pleural effusion as there are fewer than 70 cases reported worldwide. CLINICAL CASE: A patient with a persistent left pleural effusion was admitted to the Urology ward for a lithiasic obstructive uropathy with hydronephrosis...
March 2013: Revista Portuguesa de Pneumologia
Kyle Bramley, Jonathan T Puchalski
Intra-abdominal fluid may migrate readily into the pleural space through naturally occurring holes in the diaphragm or intradiaphragmatic lymphatics. Although any type of fluid in the abdomen may migrate, additional pathologic mechanisms are involved in the development of chylous ascites/chylothorax, yellow nail syndrome, urinothorax, pancreaticopleural fistulas, or other connections. In the differential diagnosis of the large list of potential pleural fluid causes, intra-abdominal sources should be entertained by the practicing physician in the right clinical context...
March 2013: Clinics in Chest Medicine
Leonidas Laskaridis, Spyridon Kampantais, Chrysovalantis Toutziaris, Basileios Chachopoulos, Ioannis Perdikis, Anastasios Tahmatzopoulos, Georgios Dimitriadis
Urinothorax (UT) is a rare and often undiagnosed condition, defined as the presence of urine in the pleural cavity due to the retroperitoneal leakage of urine accumulation, known as urinoma, into the pleural space. UT usually is a transudative pleural effusion that presents in patients with obstructive uropathy and it may occur following surgical procedures in the ureter or kidney such as ESWL, PCNL, and URS. Its diagnosis requires a high degree of clinical suspicion since the respiratory symptoms tend to be absent or mild and the urological signs tend to dominate...
2012: Case Reports in Emergency Medicine
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