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Urinothorax: an unexpected cause of pleural effusion in a patient with non-Hodgkin lymphoma.
Eur Rev Med Pharmacol Sci
March 2008
University of Patras, University Hospital of Patras, Department of Internal Medicine, Division of Pneumology, Rio, Patras, Greece.
Urinothorax is a rather rare cause of pleural effusion and its potential mechanism is urinary tract obstruction or trauma that results in urine leakage and accumulation inside the pleural space. Patients with non-Hodgkin lymphoma could present with pleural effusion due to mediastinal lymphadenopathy or extrathoracic manifestation such as urinary tract obstruction, the latter described in our case report. Physicians must be aware even of the more occult mechanisms of pleural fluid accumulations which could point to extrathoracic manifestations of involvement.
View Article and Find Full Text PDFUrinothorax: An unexpected cause of pleural effusion.
Eur J Intern Med
July 2006
Department of Internal Medicine F, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Urinothorax is an unexpected cause of transudative pleural effusion associated with obstructive uropathy. We present a case of urinothorax in a patient with congestive heart failure who had undergone percutaneous nephrolithotomy. The diagnosis was made after an unexpected enlargement of the pleural effusion after treatment with diuretics.
View Article and Find Full Text PDFUrinothorax: an unexpected cause of severe dyspnea.
Emerg Radiol
May 2006
Department of Emergency Radiology, Policlinico Umberto I, viale del Policlinico 155, Roma, 00161, Italy.
We report an unusual cause of the pleural effusion due to extravasation of urine from the retroperitoneal space into the thoracic cavity. In our case, the urinoma occurred owing to obstructing urinary tract lesion due to opaque stone. Although rare, urinothorax should be considered when pleural effusion occurs in patients with urinary tract obstruction accompanied by retroperitoneal urinoma.
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