Urinothorax: Unusual Cause of Pleural Effusion

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.

Nadir bir Plevral Efüzyon Sebebi Olarak Ürinotoraks

Ürinotoraks, plevral boþlukta idrar birikmesiyle ortaya çýkan çok nadir bir klinik tablodur. Bu durum ürolojik cerrahi giriþimlerin bir komplikasyonu olarak, postrenal obstrüktif hastalýklara baðlý ya da abdominal travmalara baðlý olarak oluþabilir. Üri-notorakslý hastalar sýklýkla öksürük, nefes darlýðý ya da göðüs aðrýsý gibi solunumsal semptomlarla baþ-vururlar. Elli iki yaþýnda kadýn hasta nefes darlýðý þikâyeti ile acil servise baþvurdu. Özgeçmiþinde 10 gün önce gerçekleþtirilmiþ böbrek taþý operasyonu mevcuttu. Akciðer grafisi ve toraks bilgisayarlý tomografisinde saðda masif plevral efüzyon saptandý. Torasentez yapýldý ve plevral sývý/serum kreatin oraný birden büyük bulundu (2,05). Hasta ürinotoraks tanýsýyla operasyona alýndý ve saðdan üreterel stent takýlmasý ve saðdan tüp torakostomi prosedürleri uygulandý. Hasta postoperatif beþinci gün taburcu edildi.

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