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Case of urinothorax – A rare presentation
Urinothorax (UT) is a rare and often undiagnosed condition, defined as the presence of urine in the pleural cavity due to the retroperitoneal leakage of urine (known as urinoma) into the pleural space. It is a rare cause of pleural effusion and is secondary to traumatic or obstructive reasons. UT is...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961100/ https://www.ncbi.nlm.nih.gov/pubmed/31898621 http://dx.doi.org/10.4103/lungindia.lungindia_95_19 |
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author | Chawla, Aditya Kumar Chaudhary, Gaurav Chawla, Madhav Kumar Chawla, Rakesh Chawla, Primal Sachdeva |
author_facet | Chawla, Aditya Kumar Chaudhary, Gaurav Chawla, Madhav Kumar Chawla, Rakesh Chawla, Primal Sachdeva |
author_sort | Chawla, Aditya Kumar |
collection | PubMed |
description | Urinothorax (UT) is a rare and often undiagnosed condition, defined as the presence of urine in the pleural cavity due to the retroperitoneal leakage of urine (known as urinoma) into the pleural space. It is a rare cause of pleural effusion and is secondary to traumatic or obstructive reasons. UT is usually a transudate pleural effusion. Its diagnosis requires a high degree of clinical suspicion, because the respiratory symptoms tend to be absent or mild and urological signs tend to dominate. Thoracocentesis followed by measurement of creatinine in the pleural fluid is a procedure to establish the true diagnosis. The average pleural fluid-to-serum creatinine ratio is in the range of 1.09–19.8. Pleural fluid-to-serum creatinine ratio >1 is the diagnostic criterion of UT. We report a case of UT associated with trauma. |
format | Online Article Text |
id | pubmed-6961100 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-69611002020-01-16 Case of urinothorax – A rare presentation Chawla, Aditya Kumar Chaudhary, Gaurav Chawla, Madhav Kumar Chawla, Rakesh Chawla, Primal Sachdeva Lung India Case Report Urinothorax (UT) is a rare and often undiagnosed condition, defined as the presence of urine in the pleural cavity due to the retroperitoneal leakage of urine (known as urinoma) into the pleural space. It is a rare cause of pleural effusion and is secondary to traumatic or obstructive reasons. UT is usually a transudate pleural effusion. Its diagnosis requires a high degree of clinical suspicion, because the respiratory symptoms tend to be absent or mild and urological signs tend to dominate. Thoracocentesis followed by measurement of creatinine in the pleural fluid is a procedure to establish the true diagnosis. The average pleural fluid-to-serum creatinine ratio is in the range of 1.09–19.8. Pleural fluid-to-serum creatinine ratio >1 is the diagnostic criterion of UT. We report a case of UT associated with trauma. Wolters Kluwer - Medknow 2020 2019-12-31 /pmc/articles/PMC6961100/ /pubmed/31898621 http://dx.doi.org/10.4103/lungindia.lungindia_95_19 Text en Copyright: © 2019 Indian Chest Society http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Chawla, Aditya Kumar Chaudhary, Gaurav Chawla, Madhav Kumar Chawla, Rakesh Chawla, Primal Sachdeva Case of urinothorax – A rare presentation |
title | Case of urinothorax – A rare presentation |
title_full | Case of urinothorax – A rare presentation |
title_fullStr | Case of urinothorax – A rare presentation |
title_full_unstemmed | Case of urinothorax – A rare presentation |
title_short | Case of urinothorax – A rare presentation |
title_sort | case of urinothorax – a rare presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961100/ https://www.ncbi.nlm.nih.gov/pubmed/31898621 http://dx.doi.org/10.4103/lungindia.lungindia_95_19 |
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