[Spontaneous rupture of the ureter with urinothorax: a case report].
Rupture of the ureter in the absence of demonstrable cause is deemed spontaneous rupture. While urinothorax is a rare complication, it occurs in the following predisposing factors: external trauma, ureteral instrumentation, previous ureteral surgery, destructive ureteral disease, external compression or obstruction from stones. The above factors may produce retroperitoneal urinoma to make urinothorax. It has a clinical picture of respiratory embarrassment. Urinothorax demonstrates a significant elevation of pleural fluid creatinine and declination of glucose concentration as compared with the serum level. In many cases a temporary or permanent urinary diversion may resolve the urinothorax, then an indirect diagnosis of the urinothorax may be made. We report a case of spontaneous rupture of the ureter with urinothorax.
Liang
D Y
DY
Department of Internal Medicine, 812 Armed Forces Hospital.
Tsai
J S
JS
Hsu
S L
SL
D000328:Adult; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000209:etiology*; D012422:Rupture, Spontaneous; D014515:Ureteral Diseases / Q000150:complications*; D014556:Urine