Diagnostic d'un épanchement pleural post-traumatique

Capellier, Gilles; Gaussorgues, P.; Boyer, F.; Claud, Bernard; Robert, Dominique

doi:10.1016/s0750-7658(89)80165-0

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…Urinothorax, an accumulation of urine in the pleural space, is a rare and unusual cause of a pleural effusion with <100 reported cases in the literature. [1] This is seen in patients with obstructive uropathy,[234] blunt abdominal trauma,[567] and percutaneous renal and ureteral procedures. [8] Pleural fluid analysis obtained through thoracentesis offers the diagnosis for urinothorax by measurement of creatinine and calculating the ratio of pleural fluid creatinine relative to serum creatinine, with a value >1 indicative for urinothorax.…”

Section: Introductionmentioning

confidence: 99%

An unusual case of urinothorax after percutaneous nephrostolithotomy

Dregoesc

Kelley

Lick

2019

J Family Med Prim Care

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We present here a case of severe dyspnea after a percutaneous nephrostolithotomy, which resulted from an urinothorax, an uncommon complication of posturological procedures. Chest X-ray indicated a significant left pleural effusion, and a diagnosis was confirmed by the pleural fluid analysis. Chest tube placement did not improve the patient's clinical status; retrograde pyelogram was performed, and a stent was placed in the left ureter orifice where a narrowing was discovered. Correcting the cause of the urinothorax is the key in such cases of severe pleural effusions as seen in our case.

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