Work

Diagnosis of Urinothorax: A rare Complication of Percutaneous nephrolithotomy and literature review

Year: 2024

Type: article

Abstract: Urinothorax represents a very rare form of pleural effusion with significant clinical and laboratory variability making diagnosis difficult. We encountered a 63-year-old male who presented to the hospital for an elective right percutaneous nephrolithotomy for a staghorn calculus. Following this procedure, a novel right sided large pleural effusion was noted. Pleural studies were consistent with a pneumothorax and a likely urinothorax. Cloudy, amber, transudative pleural fluid was submitted for cytologic analysis. Cell morphology and immunohistochemical studies confirmed the clinical impression of urinothorax. This study shows that cytologic analysis with ancillary immunohistochemical stains is a convenient method for urinothorax diagnosis. Etiological identification of the pleural effusion is critical for patient management.

Source: Human Pathology Reports

DOI: 10.1016/j.hpr.2024.300760

Authors: Chiara Cocelli, Shuyue Ren

Institutions: Cooper Medical School of Rowan University, Cooper University Hospital

Language: English

Topic: Pleural and Pulmonary Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,090