Urinothorax: An unusual complication of an oncologic gynecological surgery

Urinothorax as an early sign of urinary tract injury following total laparoscopic hysterectomy

“…Whereas urinothorax has been described following abdominal hysterectomy and laparoscopic surgery for the treatment of endometriosis [2–4], to the best of our knowledge its occurrence following laparoscopic hysterectomy has not been reported previously. In the present study, the persistent collection of urine in the pelvis could have been due to uroperitoneum, a form of chemical peritonitis due to sterile urine that can present as diffuse abdominal pain and ileus.…”

An unusual case of urinothorax after percutaneous nephrostolithotomy

“…This was seen in our patient, and to the best of our knowledge, only few other cases have reported an exudative pleural effusion. [91213]…”

“…[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. [9] Understanding diagnostic features, different treatment options, and outcomes will help in early diagnosis and therapeutic intervention for urinothorax. We present here a case of urinothorax after percutaneous nephrostolithotomy, which did not resolve with thoracostomy and chest tube placement until the underlying urological etiology was discovered and addressed.…”