Javaloyas M, Picado M J, Nonell F, Rodríguez E, Torres M
Rev Clin Esp. 1989 Jun;185(1):19-20.
The most frequent causes of pleural effusion are congestive heart failure, advanced cirrhosis and nephrotic syndrome. In some rare cases urine can be found accumulated in the pleural compartment, being this entity denominated urinotorax. This phenomenon is generally considered secondary to an urinary obstruction or to an urinoma on the same side as the effusion through mechanisms not yet clarified. Given that it is a benign condition, easily resolved by clearing the obstruction of the urinary tract and that there is little information about it in the literature, we report a case of a massive pleural effusion secondary to hydronephrosis.
胸腔积液最常见的病因是充血性心力衰竭、晚期肝硬化和肾病综合征。在一些罕见病例中,可发现尿液积聚在胸腔内,这种情况被称为尿胸。一般认为这种现象继发于尿路梗阻或与积液同侧的尿瘤,其机制尚不清楚。鉴于这是一种良性疾病,通过解除尿路梗阻很容易解决,且文献中关于它的信息很少,我们报告一例继发于肾积水的大量胸腔积液病例。