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Laparoscopic Endoscopic Surgical Science Nadir bir Plevral Efzyon Sebebi Olarak rinotoraks [Respir Case Rep]
Respir Case Rep. 2017; 6(1): 56-59 | DOI: 10.5505/respircase.2017.24008

Nadir bir Plevral Efzyon Sebebi Olarak rinotoraks

Muhammet Sayan1, Mahmut Tokur1, Hseyin Arpa2, evki Mustafa Demirz3
1Kahramanmara St Imam niversitesi Tp Fakltesi, Gs Cerrahisi Anabilim Dal, Kahramanmara
2Kahramanmara St Imam niversitesi Tp Fakltesi, Gs Hastalklar Anabilim Dal, Kahramanmara
3Atatrk Gs Hastalklar ve Gs Cerrahisi Eitim ve Aratrma Hastanesi, Gs Cerrahisi Blm, Ankara

rinotoraks, plevral bolukta idrar birikmesiyle ortaya kan ok nadir bir klinik tablodur. Bu durum rolojik cerrahi giriimlerin bir komplikasyonu olarak, postrenal obstrktif hastalklara bal ya da abdominal travmalara bal olarak oluabilir. ri-notoraksl hastalar sklkla ksrk, nefes darl ya da gs ars gibi solunumsal semptomlarla ba-vururlar. Elli iki yanda kadn hasta nefes darl ikyeti ile acil servise bavurdu. zgemiinde 10 gn nce gerekletirilmi bbrek ta operasyonu mevcuttu. Akcier grafisi ve toraks bilgisayarl tomografisinde sada masif plevral efzyon saptand. Torasentez yapld ve plevral sv/serum kreatin oran birden byk bulundu (2,05). Hasta rinotoraks tansyla operasyona alnd ve sadan reterel stent taklmas ve sadan tp torakostomi prosedrleri uyguland. Hasta postoperatif beinci gn taburcu edildi.

Anahtar Kelimeler: Nefrolitotomi, plevral efzyon, rinotoraks

Urinothorax: Unusual Cause of Pleural Effusion

Muhammet Sayan1, Mahmut Tokur1, Hseyin Arpa2, evki Mustafa Demirz3
1Department of Thoracic Surgery, Kahramanmara St Imam University, Kahramanmara, Turkey
2Department of Chest Diseases, Kahramanmara St Imam University, Kahramanmara, Turkey
3Division of Thoracic Surgery, Atatrk Chest Diseases and Thoracic Surgery Education and Research Hospital, Ankara, Turkey

Urinothorax is an extremely rare entity characterized by the presence of urine in the pleural space. It can occur as a complication of urological surgical procedures or post-renal obstructive conditions or abdominal trauma. Urinothorax patients often present with respiratory symptoms such as cough, shortness of breath, or chest pain. A 52-year-old woman was admitted to the emergency department with shortness of breath. Her medical history included nephrolithotomy 10 days ago. Chest X-ray and computed tomography revealed massive right pleural effusion. Thoracentesis was performed and the rate of pleural fluid/serum creatinine level was found to be higher (2.05). The patient was, then, operated with the diagnosis of urinothorax and tube thoracostomy and ureteral stent intervention procedures were performed. She was discharged in the postoperative fifth day.

Keywords: Nephrolithotomy, pleural effusion, urinothorax

Olgunun Grnt Kesitleri




Muhammet Sayan, Mahmut Tokur, Hseyin Arpa, evki Mustafa Demirz. Urinothorax: Unusual Cause of Pleural Effusion. Respir Case Rep. 2017; 6(1): 56-59

Sorumlu Yazar: Muhammet Sayan, Trkiye
Makale Dili: Trke
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