Urinothorax: a rare pleural effusion.
A 68-year old man suffered severe respiratory distress, secondary to massive pleural effusion on the right side several hours after removing the nephrostomy tube from both right and left kidneys. A chest tube was placed and a yellowish fluid was evacuated. This was found to be urine from a fistula between the right pelvis and the chest cavity. Diagnosis and management of urinothorax are discussed.
Hendriks
J
J
Department of Thoracic Surgery, University Hospital Antwerp, Edegem, Belgium.
Michielsen
D
D
Van Schil
P
P
Wyndaele
J J
JJ
D000368:Aged; D015505:Chest Tubes; D004322:Drainage / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000379:methods; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013902:Radiography, Thoracic; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014556:Urine