Salcedo J R
J Urol. 1986 Apr;135(4):805-8. doi: 10.1016/s0022-5347(17)45862-9.
Urinothorax should be considered when pleural effusion occurs in patients with urinary tract obstruction accompanied by retroperitoneal urinoma. This recommendation is based on our experience with 4 cases and a review of the literature. In 2 patients urinary obstruction was owing to retroperitoneal fibrosis secondary to malignancy, including one who had a neuroectodermal undifferentiated small round cell tumor and the other who had a metastatic epithelial neoplasm. In the 2 other patients urinary obstruction resulted from a failed ureteroneocystotomy following renal allograft transplantation. All 4 patients had a urinoma, which may be a predisposing factor to urinothorax.
当尿路梗阻患者伴有腹膜后尿瘤并出现胸腔积液时，应考虑尿胸的可能。本建议基于我们对4例病例的经验及文献回顾。2例患者的尿路梗阻是由恶性肿瘤继发的腹膜后纤维化所致，其中1例患有神经外胚层未分化小圆形细胞瘤，另1例患有转移性上皮肿瘤。另外2例患者的尿路梗阻是由于肾移植术后输尿管膀胱吻合术失败所致。所有4例患者均有尿瘤，这可能是发生尿胸的一个诱发因素。
