Urinothorax is a rare complication of thoracic cavity often-arising secondary to genitourinary pathology of which the most common is urinary tract obstruction. If urine is accumulated in the pleural space, it is termed as Urinothorax. Here we are reporting two cases presenting with right renal flank pain that underwent Percutaneous Nephrolithotomy and subsequent Double J (DJ) stenting due to right renal calculi. These patients then developed shortness of breath secondary to pleural effusion. At first, they were thought to be suffering from pulmonary embolism and their electrocardiography (ECG) and Chest X-rays were done. ECG showed no acute changes hence further investigations were done. Imaging and biochemical investigations aided in confirmation of the diagnosis of Urinothorax. Treatment of this condition is dependent upon a multidisciplinary approach aiming towards resolution of the underlying cause of this pathology. In this case, report we would like to briefly discuss our experience of management and clinical outcomes of Urinothorax at a tertiary care institute.


Urinothorax; Pleural Effusion; Surgery.


Volume 8 Issue-3 2019
ISSN : 2308-2593
Publisher Name : Ziauddin University
  • Syed Mahmood ul Haq
  • Imroz Arif Farhan
  • Jawed Ahmed Memon
  • Mariya Muhammad Salim
    • Thoracic Surgery Department, Liaquat National Hospital and Medical College, Karachi.