Dregoesc Diana, Kelley Rachel, Lick David
William Beaumont Hospital, Family Medicine Residency, Troy, Michigan, USA.
Department of Family Medicine, Oakland University William Beaumont School of Medicine, Troy, Michigan, USA.
J Family Med Prim Care. 2019 Jun;8(6):2155-2157. doi: 10.4103/jfmpc.jfmpc_28_17.
We present here a case of severe dyspnea after a percutaneous nephrostolithotomy, which resulted from an urinothorax, an uncommon complication of posturological procedures. Chest X-ray indicated a significant left pleural effusion, and a diagnosis was confirmed by the pleural fluid analysis. Chest tube placement did not improve the patient's clinical status; retrograde pyelogram was performed, and a stent was placed in the left ureter orifice where a narrowing was discovered. Correcting the cause of the urinothorax is the key in such cases of severe pleural effusions as seen in our case.
我们在此呈现一例经皮肾镜取石术后出现严重呼吸困难的病例，该症状由尿胸（一种泌尿外科术后罕见的并发症）引起。胸部X线显示左侧胸腔有大量积液，胸腔积液分析确诊了该病症。放置胸腔引流管并未改善患者的临床状况；进行了逆行肾盂造影，并在发现狭窄的左输尿管口放置了支架。在我们所报道的这种严重胸腔积液病例中，纠正尿胸的病因是关键。
