A 63-year-old female presented with a tension urinothorax after pyeloscopy, lithotripsy, and percutaneous nephrolithotomy that manifested as dyspnea and abdominal pain. CT Thorax demonstrated a large right pleural effusion with middle and lower lobe collapse with leftward shift concerning for tension hydrothorax. Analysis of the effusion after pigtail catheter demonstrated an exudative effusion with resultant resolution of the effusion after a 5-day hospital course. This case illustrates a uniquely rare complication of percutaneous urologic intervention. We highlight this case to stress the importance of considering urinothorax as a cause for dyspnea and abdominal pain after renal and ureteric interventions.
Keyphrases
- abdominal pain
- ultrasound guided
- case report
- minimally invasive
- randomized controlled trial
- liver failure
- advanced cancer
- radiofrequency ablation
- computed tomography
- healthcare
- physical activity
- respiratory failure
- palliative care
- image quality
- positron emission tomography
- single molecule
- dual energy
- intensive care unit
- age related macular degeneration
- acute care
- aortic dissection
- extracorporeal membrane oxygenation
- mechanical ventilation