Unilateral urinothorax due to nephropleural fistula detected on Tc-99m diethylenetriamine pentaacetic acid renal scintigraphy.
Urinothorax or urothorax, the presence of urine in the pleural space, is a rare complication of percutaneous access to the kidney for the management of complex renal and proximal ureteral calculi and ureteropelvic junction obstruction. Other causes such as blunt renal trauma, ureteral instrumentation, or ureteral surgery have also been reported. The authors describe a patient with a massive left pleural effusion with total lung atelectasis. The diagnosis of urinothorax was confirmed by diuretic renography with Tc-99m diethylenetriamine pentaacetic acid.
Agranovich
Svetlana
S
Department of Nuclear Medicine, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheba, Israel. agran@bgu.ac.il
Cherniavsky
Evgenia
E
Tiktinsky
Ekaterina
E
Horne
Tifha
T
Lantsberg
Sophie
S
D000368:Aged; D003287:Contrast Media; D003404:Creatinine / Q000097:blood; D005402:Fistula / Q000000981:diagnostic imaging*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging* / Q000473:pathology*; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D016284:Technetium Tc 99m Pentetate
D003287:Contrast Media; D003404:Creatinine; D016284:Technetium Tc 99m Pentetate