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논문분류	춘계학술대회 초록집
제목	Urinothorax : a rare case after renal biopsy
저자	Tae Won Lee* 1, Ha Nee Jang1, Yire Kim1, Min Jeong Kim1, Eunjin Bae2, Hyun Seop Cho1, 3, Hyung-Jung Kim1, 3, Se-Ho Chang1, 3, Dong Jun Park2, 3
출판정보	2016; 2016(1):
키워드	Pleural effusion, renal biopsy, urinothorax
초록	Background: Case report Methods: Urinothorax defined as the presence of urine in the pleural cavity, and is unusual cause of pleural effusion. It results from obstructive cause, blunt renal trauma, urethral instrumentation or surgery. Urinothorax usually is a transdudative pleural effusion, so it is very difficult to distinguish by the difference in the pleural fluid analysis. To diagnosis, high degree of suspicion and concern are required. Even mild respiratory symptoms, urological signs should not ignore for early diagnosis and treatment. Early diagnosis is essential for a better outcome and prompt intervention by percutaneous drainage prevented the patient from going to respiratory failure. A 27-year-old male presented to outpatient department with nonproductive cough with dyspnea and left flank pain after renal biopsy. After percutaneous drainage, symptoms was improved and there was no evidence of increasing pleural fluid. So we decided to discharge, however the patient presented again to emergency department with fever, chill, dyspnea, and left flank pain. Retrograde pyelogram and DTPA renal imaging shows radiocontras leakage from low pole of left kindey. The patient was diagnosed with ureter fistula, and performed a urethral stent indwelling by urethroscopic. After urological procedure for stenting of ureter fistula, the patient have no other manifestation and symptoms. We describes a patient with recurrent massive loculated pleural effusion after renal biopsy. Results: Objective: To report an unusual case of urinothorax cause by renal biopsy. Conclusion: N/A Table: N/A
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