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Related Experiment Videos

Urinothorax: a rare pleural effusion.

J Hendriks1, D Michielsen, P Van Schil

  • 1Department of Thoracic Surgery, University Hospital Antwerp, Edegem, Belgium.

Acta Chirurgica Belgica
|September 25, 2002
PubMed
Summary

A patient developed severe breathing problems due to a urinothorax, a rare condition where urine collects in the chest cavity. This occurred after a kidney procedure, highlighting the importance of recognizing this complication.

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Area of Science:

  • Nephrology
  • Pulmonology
  • Urology

Background:

  • Nephrostomy tube placement is a common procedure for urinary tract obstruction.
  • Complications, though rare, can arise post-procedure, necessitating prompt diagnosis and management.
  • Urinothorax, the presence of urine in the pleural space, is an uncommon but serious complication.

Observation:

  • A 68-year-old male presented with acute respiratory distress.
  • The distress was attributed to a massive right-sided pleural effusion.
  • The effusion occurred several hours after the removal of bilateral nephrostomy tubes.

Findings:

  • A chest tube insertion revealed a yellowish fluid consistent with urine.
  • Diagnostic workup confirmed a urinothorax secondary to a right pelvic fistula.
  • The fistula allowed urine to track into the chest cavity.

Implications:

  • This case underscores the potential for urinothorax following nephrostomy tube removal.
  • Early recognition and intervention are critical for managing respiratory compromise caused by urinothorax.
  • Understanding the pathophysiology of urinothorax aids in appropriate diagnostic and therapeutic strategies.

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