Urinothorax: a rapidly accumulating transudative pleural effusion in a 64-year-old man.
We report the case of a 64-year-old man who developed a rapid, right-sided pleural effusion. On initial presentation to the emergency room, the patient had fever and flank pain consistent with a ureteral obstruction (due to a bladder tumor) and associated hydronephrosis that had required previous placement of a pericutaneous nephrostomy tube. After a 10-day stay in the hospital, the patient's urine output ceased. Symptomatic dyspnea with radiographic evidence of a new pleural effusion soon followed. Urinothorax was the etiology of the effusion.
Deel
Samuel
S
Edward Via Virginia College of Osteopathic Medicine, Abingdon Internal Medicine Associates, and Johnston Memorial Hospital, 2265 Kraft Drive, Blacksburg, VA 24060, USA. sdeel@vcom.vt.edu
Robinette
Emory
E
D017809:Fatal Outcome; D006801:Humans; D006869:Hydronephrosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000473:pathology*; D053584:Urinoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy