Abstract
A RARE CAUSE OF HEMORRHAGIC PLEURAL EFFUSION: URINOTHORAX

Dr. Binu Krishnan*, Dr. Rajalekshmi K., Dr. Ancy Robin and Dr. Arun Pareeth

ABSTRACT

A 64 year old male presented with right renal calculus. Per-cutaneous Nephrolithotomy and Double-J Stenting was done. On second post operative day, patient developed dyspnoea and was started on oxygen. CT chest and abdomen showed contrast filled continuous tract (postero- superiorly directed) which extended from the right renal upper pole calyx to right pleural cavity. Pleual aspiration revealed hemorrhagic pleural fluid and lab investigation showed pleural fluid- to-serum creatinine ratio >1, which is one of the biochemical diagnostic criteria of urinothorax. Urinothorax as a cause of hemorrhagic pleural effusion was diagnosed, which is quite rare as per literature.

Keywords: Urinothorax, Pleural effusion, Per-cutaneous Nephrolithotomy.


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