Urinothorax causing massive left side pleural effusion in a young lady; case report and literature review

Autor: Alaa S. Bahjat, Kamiran J. Sadeeq, Ahamd Mohammad Sharif Tahir, Ayad Ahmad Mohammed
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Urology Case Reports, Vol 26, Iss , Pp - (2019)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2019.100957
Popis: Urinothorax is the presence of the urine in the pleural space. This condition is very rare and occurs due to unrelieved obstruction of urinary flow.A 20-year-old female presented 7 days after cesarean section with tachypnea, and generalized abdominal pain. There was absent air entry over the left hemithorax. CT scan showed massive left pleural effusion and a stone obstructing the renal pelvis with hydronephrosis and peri-renal collection. The pleural fluid had high fluid creatinine level suggesting urine collection. Ureteroscopy done and double J catheter inserted.The effusion became loculated, thoracotomy and pleural decortication done. Keywords: Urinothorax, Renal stone, Hydronephrosis, Thoracotomy, Double J catheter
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