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Year : 2019  |  Volume : 8  |  Issue : 6  |  Page : 2155-2157

An unusual case of urinothorax after percutaneous nephrostolithotomy

1 William Beaumont Hospital, Family Medicine Residency, Troy, Michigan, USA
2 William Beaumont Hospital, Family Medicine Residency; Department of Family Medicine, Oakland University William Beaumont School of Medicine, Troy, Michigan, USA

Correspondence Address:
David Lick
44250 Dequindre Rd., Sterling Heights, MI 48314
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_28_17

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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.

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