Ureteral urine leak presenting as a pleural effusion in a renal transplant recipient

Abstract

We report a 15-year-old girl who developed a ureteral perforation soon after living-related donor renal transplantation. Her presentation was unusual in that a symptomatic pleural effusion accumulated as an extension of the perinephric urine collection. Recognition and surgical correction of the ureteral pathology led to resolution of respiratory symptomatology and full recovery of renal function.

Urinothorax: a systematic review

“…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)…”

Urinothorax: a new approach

“…Reported cases include surgical injury [2,8,18,[20][21][22], blunt trauma [23][24][25][26][27][28], attempted percutaneous neprhostomy [2,18,29], attempted kidney biopsy [2], failed neoureterocystotomy [2], acute obstruction secondary to renal calculi with hydronephrosis [14,18,[30][31][32], renal calculi lithotripsy [1,33] and renal transplantation [34,35].…”

Urinothorax: Case report and systematic review of the literature

“…[ 1 2 3 4 5 ] It has been reported in patients with blunt trauma or after abdominal surgical procedures. [ 6 ] Disruption of the urinary tract leads to accumulation of urine in the retroperitoneal space that leaks into the pleural space. [ 5 7 ] It is usually ipsilateral to the lesion side.…”