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Surgical Management of Urinothorax After Percutaneous Nephrolithotomy.
Ann Thorac Surg Short Rep
June 2024
Division of Thoracic Surgery, Department of Surgery, Cooper University Hospital, Camden, New Jersey.
Urinothorax is a rare form of pleural effusion that can occur after percutaneous instrumentation of the genitourinary tract. We report on the surgical management of a 75-year-old man with a past surgical history of 3-hole esophagectomy who was afflicted with a loculated urinothorax complicated by sepsis after a supracostal percutaneous nephrolithotomy. We demonstrate the efficacy of pleurodesis and decortication in the management of complicated urinothorax that is refractory to medical management.
View Article and Find Full Text PDFCase report: Acute dyspnea secondary to urinothorax following ureteroscopy.
Urol Case Rep
November 2023
The Medical University of South Carolina, Department of Emergency Medicine, Charleston, SC, USA.
A 63-year-old female presented with a tension urinothorax after pyeloscopy, lithotripsy, and percutaneous nephrolithotomy that manifested as dyspnea and abdominal pain. CT Thorax demonstrated a large right pleural effusion with middle and lower lobe collapse with leftward shift concerning for tension hydrothorax. Analysis of the effusion after pigtail catheter demonstrated an exudative effusion with resultant resolution of the effusion after a 5-day hospital course.
View Article and Find Full Text PDFPleural Effusion Secondary to Obstructive Uropathy: A Case of Urinothorax.
Eur J Case Rep Intern Med
September 2020
Internal Medicine Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Unlabelled: Urinothorax is a rare type of pleural effusion and usually the result of genitourinary tract disease. An accurate and early diagnosis is crucial as resolution of the underlying pathology is the mainstay of treatment. We report the case of a 69-year-old man who was admitted to the Internal Medicine ward due to obstructive acute kidney injury of unknown origin.
View Article and Find Full Text PDFUrinothorax following percutaneous image-guided renal cryoablation.
Radiol Case Rep
November 2020
Department of Diagnostic and Interventional Radiology, Institute of Oncology, St. James's University Hospital, Leeds Teaching Hospitals Trust, Leeds.
A 69-year-old lady with 2 renal cell carcinomas, one sited at the upper pole of her solitary right kidney, underwent percutaneous image-guided cryoablation and developed urinothorax as a complication. This was diagnosed from pleural fluid analysis and radiology imaging with computed tomography (CT). Management included image-guided chest drain and retrograde ureteric stent insertion to divert the urine from entering the pleural cavity.
View Article and Find Full Text PDFThe Urinothorax: A Comprehensive Review With Case Series.
Am J Med Sci
July 2017
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Albany Medical College, Albany, New York.
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.
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