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Urinothorax after ultrasonography-guided renal biopsy: a case report.

ABSTRACT: BACKGROUND:Urinothorax is defined as the presence of urine in the pleural space and is a rather rare cause of transudate pleural effusion. The potential etiologies are urinary tract obstruction and trauma. Diagnosis requires a high index of clinical suspicion and the condition is completely reversible following relief of underlying disease. CASE PRESENTATION:We report a 27-year-old man who developed urinothorax after renal biopsy. Urine leakage was confirmed with 99mTc DTPA (diethylenetriaminepentacetate) and single-photon emission computed tomography scans and retrograde pyelography. The pleural effusion was completely resolved by removing the leakage with a Foley catheter and a double J stent. CONCLUSIONS:Urinothorax has not been reported in patients doing renal biopsy in the literature. Based on our experience, urinothorax should be suspected, diagnosed, and managed appropriately when pleural effusion occurred after renal biopsy.

SUBMITTER: Lee TW

PROVIDER: S-EPMC5934790 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Urinothorax after ultrasonography-guided renal biopsy: a case report.

Lee Tae Won TW Jang Ha Nee HN Cho Hyun Seop HS Choi See Min SM Choi Bong-Hoi BH Bae Eunjin E Chang Se-Ho SH Park Dong Jun DJ

BMC nephrology 20180503 1

<h4>Background</h4>Urinothorax is defined as the presence of urine in the pleural space and is a rather rare cause of transudate pleural effusion. The potential etiologies are urinary tract obstruction and trauma. Diagnosis requires a high index of clinical suspicion and the condition is completely reversible following relief of underlying disease.<h4>Case presentation</h4>We report a 27-year-old man who developed urinothorax after renal biopsy. Urine leakage was confirmed with <sup>99m</sup>Tc ...[more]

PMID: 29724179

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