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

Abstract

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.

Dorsal urethro-cutaneous fistula caused by an impacted stone at the bulbar urethra: Case report

“…Impacted stones in the urethra may predispose to infection and abscess formation, they may become impacted in the anterior or posterior urethra. The detailed management plan must be addressed before the start of the management [ [10] , [11] , [12] ].…”

Urinotórax: una rara complicación de la nefrolitotomía percutánea: reporte de un caso

“…El reconocimiento temprano del urinotórax es muy importante para su tratamiento. Este va a depender de la causa que lo generó e incluye dos aspectos fundamentales: restablecer el flujo normal de orina y drenar la colección de esta en la cavidad pleural 15 . Ello requiere un enfoque multidisciplinario, con varios especialistas involucrados.…”

Acute Dyspnea in a Young Woman Following Percutaneous Nephrostomy Tube Placement

“…It is a reversible condition once the underlying disease process is resolved. However, at times, interventions may be required, including thoracotomy and pleural decortication (5).…”