Freitas, Andreia and Coelho, Telmo and Beça, Sara and Gregório, Tiago (2020) Pleural Effusion Secondary to Obstructive Uropathy: A Case of Urinothorax. European Journal of Case Reports in Internal Medicine, 7 (12). pp. 1-3. ISSN ISSN: 2284-2594
|
Text
1865-Article Text-16380-1-10-20200915.pdf - Published Version Download (308kB) | Preview |
Abstract
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. The patient was submitted to urinary catheterization and to right percutaneous nephrostomy. Two weeks after admission he developed a large left pleural effusion; a left urinoma was also visible on computed tomography. After thoracentesis, pleural fluid analysis demonstrated a paucicellular transudate with pH <7.40 and pleural fluid/serum creatinine ratio >1.0. The diagnosis of urinothorax was made and further study allowed the diagnosis of prostate cancer as the aetiology of the obstruction. When bilateral percutaneous nephrostomy was performed, resolution of the urinothorax and normalization of renal function occurred.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Pleural effusion, thoracentesis, hydronephrosis, urinoma, acute kidney injury |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 20 Dec 2021 14:51 |
| Last Modified: | 20 Dec 2021 14:51 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21154 |
Actions (login required)
 |
View Item |
