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An unusual cause of pleural effusion, urinothorax in a child with urinary stone disease

Abstract

The association of obstructive uropathy with ascites has been known since 1863 and with pleural effusion since 1954. Urinothorax is a rare complication of blunt renal trauma, ureteral instrumentation or ureteral surgery. Leakage from the urinary tract may cause urinoma, retroperitoneal collection of fluid, which can lead to urinothorax. This case report describes a child with a massive right-sided pleural effusion that was caused by same-sided renal calculi. The effusion disappeared within a few days after adequate urinary drainage had been established.

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References

  1. Maskell NA, Butland RJA (2003) BTS guidelines for the investigation of unilateral pleural effusion in adults. Thorax 58 [Suppl]:8–17

    Google Scholar 

  2. Salcedo JR, (1986) Urinothorax. Report of 4 cases and review of the literature. J Urol 135:805–808

    PubMed  Google Scholar 

  3. Lee SD (1989) Pleural effusion and hydronephrosis in a newborn. J Am Board Fam Pract 2:55–57

    PubMed  Google Scholar 

  4. Parvathy U, Saldonha R, Balakrishnan KR (2003) Blunt abdominal trauma in urinothorax from a missed uretero-pelvic junction avulsion: case report. J Trauma 54:187–189

    PubMed  Google Scholar 

  5. Lahiry SK, Alkhafaji SH, Brown AL (1978) Urinothorax following blunt trauma to the kidney. J Trauma 18:608–610

    PubMed  Google Scholar 

  6. Stark DD, Shanes JG, Baron RL, Koch DD (1982) Biochemical features of urinothorax. Arch Intern Med 142:1509–1511

    Article  PubMed  Google Scholar 

  7. Oguzulgen IK, Oguzulgen AI, Sinik Z, Kokturk O, Ekim N, Karaoğlan U (2002) An unusual cause of urinothorax. Respiration 69:273–274

    PubMed  Google Scholar 

  8. Young AT, Hunter DW, Castaneda-Zuniga WR (1985) Percutaneous extraction of urinary calculi: use of the intercostal approach. Radiology 154:633–638

    PubMed  Google Scholar 

  9. Coleman CC, Kimura Y, Reddy P (1984) Complications of nephrolithotomy. Semin Interv Radiol 1:70–74

    Google Scholar 

  10. O’Donnell A, Schoenberger C, Weiner J, Tsou E (1988) Pulmonary complications of percutaneous nephrostomy in kidney stone extraction. South Med J 81:1002–1005

    PubMed  Google Scholar 

  11. Kamble RT, Bhat SP, Joshi JM (2000) Urinothorax: a case report. Indian J Chest Dis Allied Sci 42:189–190

    PubMed  Google Scholar 

  12. Laforte EG, Kornitzer GD (1977) Nephrogenic pleural effusion. J Urol 117:118–119

    PubMed  Google Scholar 

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Correspondence to Mithat Buyukcelik.

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Buyukcelik, M., Satar, N., Celik, U. et al. An unusual cause of pleural effusion, urinothorax in a child with urinary stone disease. Pediatr Nephrol 20, 1487–1489 (2005). https://doi.org/10.1007/s00467-005-1949-y

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  • DOI: https://doi.org/10.1007/s00467-005-1949-y

Keywords

  • Pleural effusion
  • Renal stone disease
  • Childhood
  • Obstructive uropathy