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Unusual diagnosis of urinothorax: a case report

Sanjith Saseedharan, Edwin J. Pathrose, Vaibhav Kubal, Anand Pandhare
  • Sanjith Saseedharan
    Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra, India
  • Edwin J. Pathrose
    Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra, India; Smolensk State Medical Academy, Russian Federation | edwinjp7@gmail.com
  • Vaibhav Kubal
    Department of Pulmonology, S.L. Raheja Hospital, Mumbai, Maharashtra, India
  • Anand Pandhare
    Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra, India

Abstract

Urinothorax is a rare cause of pleural effusion characterized by the collection of urine in the pleural space. The index of suspicion should be higher when a pleural effusion is associated with cases of urinary tract obstruction or obstructive uropathy (renal calculi) and trauma. The characteristic feature in the diagnosis of urinothorax lies in the biochemistry, where the ratio of pleural fluid to serum creatinine is higher than 1. The present case is a unique instance of urinothorax with left urinoma and hydronephrosis where the ratio of pleural fluid to serum creatinine is below one.

Keywords

Urinothorax; Obstructive uropathy; Creatinine; Pleural effusion

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Submitted: 2016-05-17 09:19:43
Published: 2016-11-08 09:13:05
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Copyright (c) 2016 Sanjith Saseedharan, Edwin Joseph Pathrose, Vaibhav Kubal, Anand Pandhare

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