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Urinothorax: a rare finding after urinary intervention.

Ahmed M Abdel-Rahman1

  • 1Urology and Nephrology Center, Mansoura University, Mansoura, 35516, Egypt.

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|August 12, 2015
PubMed
Summary

Unilateral urinothorax, a rare complication post percutaneous nephrolithotomy, can cause pleural effusion and acute dyspnea. Prompt diagnosis and management are crucial for patient recovery.

Keywords:
left percutaneous nephrolithotomy - pleural effusion - urinary Intervention - urinothorax

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Area of Science:

  • Nephrology
  • Pulmonology
  • Urology

Background:

  • Percutaneous nephrolithotomy is a common procedure for kidney stones.
  • Pleural effusion and acute dyspnea are potential complications.
  • Unilateral urinothorax is a rare but serious cause.

Observation:

  • A case of unilateral urinothorax following percutaneous nephrolithotomy is presented.
  • Massive left-sided pleural effusion was identified on chest CT.
  • Biochemical analysis confirmed exudative effusion and urinothorax.

Findings:

  • The pleural effusion was successfully drained using a central venous pressure catheter.
  • The underlying urologic issue was resolved, leading to patient recovery.
  • This case highlights the importance of considering urinothorax in specific clinical scenarios.

Implications:

  • Urinothorax should be suspected in patients with pleural effusion after renal or ureteric procedures.
  • Early recognition and intervention are key to managing this rare complication.
  • This case contributes to the understanding of post-procedural complications in urology.