Oğuzülgen I Kivilcim, Oğuzülgen A Ibrahim, Sinik Zafer, Köktürk Oğuz, Ekim Numan, Karaoğlan Ustünol
Department of Pulmonary Medicine, Gazi University School of Medicine, Ankara, Turkey.
Respiration. 2002;69(3):273-4. doi: 10.1159/000063633.
Urinothorax is a rare complication of blunt renal trauma, ureteral instrumentation or ureteral surgery. A leakage from the urinary tract causes urinoma, a retroperitoneal collection of fluid, which can lead to urinothorax. We report a patient with solitary kidney who underwent extracorporeal shock wave lithotripsy (ESWL) for nephrolithiasis. Four days after ESWL, she had right-sided pleural effusion which demonstrated as urinothorax. Urinoma occurring after ESWL, as in our case, is a situation that has not been reported before as a cause of urinothorax. Urinothorax should be taken into consideration in patients with pleural effusion who recently underwent ESWL.
尿胸是钝性肾创伤、输尿管器械操作或输尿管手术的一种罕见并发症。尿路渗漏会导致尿瘤，即腹膜后液体积聚，进而可能引发尿胸。我们报告一例孤立肾患者，因肾结石接受了体外冲击波碎石术（ESWL）。ESWL术后四天，她出现右侧胸腔积液，经证实为尿胸。如我们病例中所示，ESWL后发生尿瘤作为尿胸的病因此前尚未见报道。对于近期接受ESWL且出现胸腔积液的患者，应考虑到尿胸的可能。
