PDF(Pubmed)
Abstract：
OBJECTIVE: Urinothorax and urinoma are rare complications of obstructive uropathy. They might occur due to persistent high back pressure on the renal parenchyma. Urinothorax usually arises while the obstruction exists; in contrast to our case, the child presented after being operated on. He had falsely high creatinine before the operation, which was later explained by creatinine recirculation.
METHODS: We are reporting an uncommon case of late presentation of ruptured urinoma in a 2-month-old Kuwaiti male. It led to urinothorax/uroperitoneum that caused respiratory distress and was associated with creatinine recirculation, requiring retroperitoneal perinephric catheter insertion. The child had recovered and was discharged home.
CONCLUSIONS: A high index of suspicion is required to diagnose urinothorax, especially in patients with a history of obstructive uropathy. Aspiration of the pleural effusion will guide you to reach the diagnosis. Creatinine recirculation is rarely described in the literature. Having a patient with urinothorax/uroperitoneum should raise the suspicion of falsely elevated creatinine levels.
METHODS: We are reporting an uncommon case of late presentation of ruptured urinoma in a 2-month-old Kuwaiti male. It led to urinothorax/uroperitoneum that caused respiratory distress and was associated with creatinine recirculation, requiring retroperitoneal perinephric catheter insertion. The child had recovered and was discharged home.
CONCLUSIONS: A high index of suspicion is required to diagnose urinothorax, especially in patients with a history of obstructive uropathy. Aspiration of the pleural effusion will guide you to reach the diagnosis. Creatinine recirculation is rarely described in the literature. Having a patient with urinothorax/uroperitoneum should raise the suspicion of falsely elevated creatinine levels.
摘要：
目的：尿胸和尿瘤是梗阻性尿路病变的罕见并发症。它们可能是由于肾实质上持续的高背压而发生的。尿胸通常在梗阻存在时出现；与我们的情况相反，手术后出现的那个孩子。手术前他的肌酐虚高,这后来被解释为肌酐再循环。
方法：我们报告了一例2个月大的科威特男性尿瘤破裂的罕见病例。它导致引起呼吸窘迫的尿胸/尿腹膜，并与肌酐再循环有关。需要腹膜后肾周导管插入。孩子已经康复并出院回家。
结论：诊断尿胸需要高度怀疑，尤其是有梗阻性尿路病病史的患者。胸腔积液的抽吸将指导您达到诊断。在文献中很少描述肌酐再循环。患有尿胸/尿路腹膜的患者应增加对肌酐水平错误升高的怀疑。
方法：我们报告了一例2个月大的科威特男性尿瘤破裂的罕见病例。它导致引起呼吸窘迫的尿胸/尿腹膜，并与肌酐再循环有关。需要腹膜后肾周导管插入。孩子已经康复并出院回家。
结论：诊断尿胸需要高度怀疑，尤其是有梗阻性尿路病病史的患者。胸腔积液的抽吸将指导您达到诊断。在文献中很少描述肌酐再循环。患有尿胸/尿路腹膜的患者应增加对肌酐水平错误升高的怀疑。
