Unusual diagnosis of urinothorax: a case report

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

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Author Biographies

Sanjith Saseedharan, Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra

Head - Intensive Care

Edwin J. Pathrose, Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra, India; Smolensk State Medical Academy
Intensive Care Unit - ICU Registrar
Vaibhav Kubal, Department of Pulmonology, S.L. Raheja Hospital, Mumbai, Maharashtra

Associate Consultant (Pulmonology)

Anand Pandhare, Intensive Care Unit, S.L. Raheja Hospital, Mumbai, Maharashtra

Associate Consultant - ICU

Published
2016-11-08
Info
Issue
Section
Case Reports
Keywords:
Urinothorax, Obstructive uropathy, Creatinine, Pleural effusion
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How to Cite
Saseedharan, S., Pathrose, E., Kubal, V., & Pandhare, A. (2016). Unusual diagnosis of urinothorax: a case report. Chest Disease Reports, 4(1). https://doi.org/10.4081/cdr.2016.6001