Unilateral Urinothorax Due to Nephropleural Fistula Detected on Tc-99m Diethylenetriamine Pentaacetic Acid Renal Scintigraphy

Agranovich, Svetlana; Cherniavsky, Evgenia; Tiktinsky, Ekaterina; Horne, Tifha; Lantsberg, Sophie

doi:10.1097/rlu.0b013e31818bf181

Cited by 12 publications

(4 citation statements)

References 7 publications

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“…Contrast-enhanced CT can reveal the underlying reno-pleural fistula. Technetium-99m renal scintigraphy can demonstrate the translocation of 99Tc-labeled albumin from the genitourinary tract into the pleural space [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Urinothorax: A Rare Cause of Pleural Effusion

Ahmad¹,

Dhakal²,

Sinyagovskiy³

et al. 2022

Cureus

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Urinothorax is a rare cause of pleural effusion, which is seen in patients with obstructive uropathy, blunt trauma, or ureteric injury during abdominal surgical procedures. Clinical symptoms may include dyspnea, chest pain, cough, fever, abdominal pain, and decreased urine output. Diagnosis is made by thoracentesis, which would reveal fluid with a urine-like odor, and pleural fluid analysis, which would show if fluid is transudative in nature with a pH lower than 7.30. Pleural fluid to serum creatine ratio of more than 1 is diagnostic for this condition. In our case, the patient underwent percutaneous nephrolithotripsy with a stent placement three days before presentation to the hospital. She was diagnosed with urinothorax, which led to further investigations, and she was found to have persistent hydronephrosis. Her condition improved after her underlying hydronephrosis was addressed with stent placement. She was discharged home in stable condition.

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Section: Discussionmentioning

confidence: 99%

Urinothorax: A Rare Cause of Pleural Effusion

Ahmad¹,

Dhakal²,

Sinyagovskiy³

et al. 2022

Cureus

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“…Figure 1 presents a flowchart showing a complete breakdown (2,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) of how (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44) appropriate studies (45)(46)(47)(48)(49)(50)(51)(52)(53)(54)…”

Section: Resultsmentioning

confidence: 99%

“…No direct treatment was applied in 4 patients; 2 with renal stone disease resolved spontaneously (28,39) and the other 2 died (38,48). Finally, the treatment applied in 10 patients was not documented (2,8,10,15,45,52,59,61,63,78).…”

Section: Treatment Of Pementioning

confidence: 99%

Urinothorax: a systematic review

et al. 2017

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“…[ 5 7 ] It is usually ipsilateral to the lesion side. [ 8 9 ] Diagnosis can be done with renal scintigraphy with a radioactive tracer,[ 10 11 ] or measuring creatinine levels in pleural fluids. [ 12 ] Frequently reported in adults; we present the case of a 3-year-old boy and a systematic review of the literature.…”

Section: Introductionmentioning

confidence: 99%

Urinothorax: Case report and systematic review of the literature

2016

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Urinothorax, the presence of urine in the pleural space, is a rare cause of pleural effusion, usually associated with obstructive uropathy, or urinary trauma. We present the case of a 3 year-old boy and a systematic review of the literature of the 44 cases encountered. After resection of a Wilm's tumour in the right kidney our patient presented acute respiratory distress associated with radiographically confirmed pleural effusion. With the initial diagnosis of pneumonia or malignant pleural effusion, a closed thoracotomy was performed. The liquid obtained suggested urine, which was confirmed by the laboratory. Cystoscopy with retrograde pyelography detected a fistula on the posterior wall of the right kidney. The report of cases worldwide is low, probably due to its low incidence but also to underdiagnosis. Respiratory symptoms are not always present and urological symptoms usually predominate. Diagnosis requires a high degree of clinical suspicion and is confirmed by the main biochemical marker: The ratio >1.0 pleural fluid creatinine and creatinine serum.

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Unilateral Urinothorax Due to Nephropleural Fistula Detected on Tc-99m Diethylenetriamine Pentaacetic Acid Renal Scintigraphy

Cited by 12 publications

References 7 publications

Urinothorax: A Rare Cause of Pleural Effusion

Urinothorax: A Rare Cause of Pleural Effusion

Urinothorax: a systematic review

Urinothorax: Case report and systematic review of the literature

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