URINOTHORAX PRESENTING AS RESPIRATORY DISTRESS AFTER NEPHROLITHOTOMY | [Pakistan Journal of Medicine and Dentistry • 2019]

Author(s):

1. Imroz Arif Farhan: Liaquat National Hospital and Medical College,Karachi, Pakistan

2. Syed Mahmood ul Haq: Thoracic Surgery Department, Liaquat National Hospital and Medical College, Karachi, Pakistan

3. Jawed Ahmed Memon: Thoracic Surgery Department, Liaquat National Hospital and Medical College, Karachi, Pakistan

4. Mariya Muhammad Salim: Thoracic Surgery Department, Liaquat National Hospital and Medical College, Karachi, Pakistan

Abstract:

Urinothorax is a rare complication of thoracic cavity often-arising secondary to genitourinary pathology of which the most common is urinary tract obstruction. If urine is accumulated in the pleural space, it is termed as Urinothorax. Here we are reporting two cases presenting with right renal flank pain that underwent Percutaneous Nephrolithotomy and subsequent Double J (DJ) stenting due to right renal calculi. These patients then developed shortness of breath secondary to pleural effusion. At first, they were thought to be suffering from pulmonary embolism and their electrocardiography (ECG) and Chest X-rays were done. ECG showed no acute changes hence further investigations were done. Imaging and biochemical investigations aided in confirmation of the diagnosis of Urinothorax. Treatment of this condition is dependent upon a multidisciplinary approach aiming towards resolution of the underlying cause of this pathology. In this case, report we would like to briefly discuss our experience of management and clinical outcomes of Urinothorax at a tertiary care institute.

Page(s): 77-79

DOI: DOI not available

Published: Journal: Pakistan Journal of Medicine and Dentistry, Volume: 8, Issue: 3, Year: 2019

Keywords:

Pleural effusion , Surgery , Urinothorax

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