Urinary Pleural Effusion: Introducing Treatment and Follow-Up Course of Three Cases.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

Urologia Internationalis Pub Date : 2025-03-25 DOI:10.1159/000545416

Longyuhe Yang, Xuanfan Hu, Yueqiang Wang, Yu Tian, Zhen Ma, Qiuyi Lu, Yunliang Zhao, Jianbin Yang, Zhigang Zhang

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引用次数: 0

Abstract

Introduction: Urinary pleural effusion is a rare thoracic complication associated with urogenital diseases, primarily resulting from obstructive urinary tract disorders, but it can also arise from therapeutic or traumatic injuries. Due to its infrequency and the absence of clear diagnostic criteria, such cases are often overlooked.

Case presentation: In 3 reported cases, patients presented with typical symptoms such as dyspnea and chest pain. Following the diagnosis of urinary-derived pleural effusion, various treatment strategies were successfully implemented. All patients subsequently underwent surgery for urinary calculi during follow-up, without experiencing similar severe complications.

Conclusion: Effective management of urinary-derived pleural effusion necessitates a multidisciplinary approach aimed at addressing the underlying urological issues. Once the urinary tract is treated, pleural effusion generally resolves quickly. These cases underscore the significance of early diagnosis and appropriate treatment, and clinicians should maintain a high index of suspicion for this condition to facilitate early diagnosis and individualized management.

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尿性胸腔积液：3例治疗及随访。

尿源性胸腔积液是一种罕见的泌尿生殖系统疾病的胸部并发症，最常由梗阻性尿路疾病引起。然而，它也可能是由治疗性或创伤性损伤引起的。由于其罕见和缺乏明确的诊断标准，这种情况往往被低估。在报告的三个病例中，所有患者都表现出典型的临床症状，包括呼吸困难和胸痛。在诊断出尿源性胸腔积液后，不同的治疗策略已成功地用于控制病情。在随访期间，所有三名患者再次接受尿路结石手术，但没有出现类似的严重并发症。我们强调，尿源性胸腔积液的管理需要多学科合作，重点是纠正潜在的泌尿系统病理。一旦治疗尿路不通畅，胸腔积液通常会迅速消失。基于这些病例，我们强调尿源性胸腔积液的早期诊断和适当治疗的重要性，并建议临床医生在遇到相关病例时保持高度的怀疑指数，以制定个性化的治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Internationalis 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.