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An unusual case of urinothorax after percutaneous nephrostolithotomy.

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An unusual case of urinothorax after percutaneous nephrostolithotomy.

Auteurs : Diana Dregoesc [États-Unis] ; Rachel Kelley [États-Unis] ; David Lick [États-Unis]

Source :

Journal of family medicine and primary care [ 2249-4863 ] ; 2019.

RBID : pubmed:31334200

Abstract

We present here a case of severe dyspnea after a percutaneous nephrostolithotomy, which resulted from an urinothorax, an uncommon complication of posturological procedures. Chest X-ray indicated a significant left pleural effusion, and a diagnosis was confirmed by the pleural fluid analysis. Chest tube placement did not improve the patient's clinical status; retrograde pyelogram was performed, and a stent was placed in the left ureter orifice where a narrowing was discovered. Correcting the cause of the urinothorax is the key in such cases of severe pleural effusions as seen in our case.

DOI: 10.4103/jfmpc.jfmpc_28_17
PubMed: 31334200
PubMed Central: PMC6618223

Affiliations:

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<front><div type="abstract" xml:lang="en">We present here a case of severe dyspnea after a percutaneous nephrostolithotomy, which resulted from an urinothorax, an uncommon complication of posturological procedures. Chest X-ray indicated a significant left pleural effusion, and a diagnosis was confirmed by the pleural fluid analysis. Chest tube placement did not improve the patient's clinical status; retrograde pyelogram was performed, and a stent was placed in the left ureter orifice where a narrowing was discovered. Correcting the cause of the urinothorax is the key in such cases of severe pleural effusions as seen in our case.</div>
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An unusual case of urinothorax after percutaneous nephrostolithotomy.

An unusual case of urinothorax after percutaneous nephrostolithotomy.

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Abstract

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