Urinothorax associated with VURD syndrome
Journal
Pediatric Nephrology
Journal Volume
20
Journal Issue
4
Pages
543-546
Date Issued
2005
Author(s)
Abstract
VURD syndrome is a congenital genitourinary anomaly combining posterior urethral V alves, U nilateral vesicoureteral R eflux and renal D ysplasia. We report on a case of VURD syndrome presenting with acute renal failure and respiratory distress syndrome due to urinothorax. Urinothorax is a rarely reported complication of obstructive uropathy, but has not been linked to VURD syndrome. The diagnosis of urinothorax was confirmed by demonstration of a pleural fluid to serum creatinine ratio greater than one. Without tube thoracotomy drainage, urinothorax resolved rapidly after urinary catheterization and the renal recovery was also excellent after primary valve ablation. We discuss the diagnosis and management of urinothorax and the possible protective effect of urinoma, urinothorax, and unilateral vesicoureteral reflux on the renal function. We consider that urinothorax and urinoma may be deemed to be the extension of the clinical spectrum of VRUD syndrome. Excellent renal prognosis in our case also favors the protective effect provided by the buffer of pressure from unilateral vesicoureteral reflux, urinoma and urinothorax. ? IPNA 2005.
SDGs
Other Subjects
creatinine; acute kidney failure; article; case report; catheterization; creatinine blood level; human; infant; male; pleura fluid; priority journal; prognosis; respiratory distress syndrome; thoracocentesis; urinary tract disease; urinary tract obstruction; urinoma; urinothorax; urogenital tract malformation; vesicoureteral reflux; Exudates and Transudates; Humans; Infant, Newborn; Kidney; Male; Pleural Effusion; Radiography, Thoracic; Syndrome; Urethra; Urinary Bladder; Urine; Vesico-Ureteral Reflux
Type
journal article