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Biochemical Features of Urinothorax

Biochemical Features of Urinothorax Abstract • In three patients with obstructive uropathy and retroperitoneal urine collections, rapidly accumulating pleural effusions developed. The diagnosis of urinothorax was confirmed when chemical analysis of pleural fluid disclosed higher creatinine concentrations than found in simultaneously obtained serum samples. Similar determinations made in 71 specimens from control patients with pleural effusions showed that pleural creatinine concentration did not exceed the serum level in other conditions. We conclude that elevated pleural fluid creatinine level is specific for the diagnosis of urinothorax. Low pleural fluid glucose concentration may also be seen in these patients. (Arch Intern Med 1982;142:1509-1511) References 1. Corriere JN, Miller WT, Murphy JJ: Hydronephrosis as a cause of pleural effusion. Radiology 1968;90:79-84.Crossref 2. Friedland GW, Axman MM, Love TL: Neonatal 'urinothorax' associated with posterior urethral valves. Br J Radiol 1971;44:471-474.Crossref 3. Barek LB, Cigtay OS: Urinothorax: An unusual pleural effusion. Br J Radiol 1975;48:685-686.Crossref 4. Laforet EG, Kornitzer GD: Nephrogenic pleural effusion. J Urol 1977;117:118-119. 5. Lahiry SK, Alkhafaji AH, Brown AL: Urinothorax following blunt trauma to the kidney. J Trauma 1978;18:608-610.Crossref 6. Belis JA, Milam DF: Pleural effusion secondary to ureteral obstruction. Urology 1979;14:27-29.Crossref 7. Baron RL, Stark DD, McClennan BL, et al: Intrathoracic extension of retroperitoneal urine collections. AJR 1981;137:37-41.Crossref 8. Chasson AL, Gady HJ, Stanley MA: Determination of creatinine by means of automatic chemical analysis. Am J Clin Pathol 1966;35:83-88. 9. Colton T: Statistics in Medicine . Boston, Little Brown & Co, 1974. 10. Light RW: Pleural effusions. Med Clin North Am 1977;61:1339-1352. 11. Hirsch A, Ruffie P, Niebut M, et al: Pleural effusion: Laboratory tests in 300 cases. Thorax 1979;34:106-112.Crossref 12. Leuallen EC, Carr DT: Pleural effusion. N Engl J Med 1955;252:79-83.Crossref 13. Storey DD, Dines DE, Coles DT: Pleural effusion. JAMA 1976; 236:2183-2186.Crossref 14. Pinner M, Moerke G: Pleural effusions. Am Rev Tuberc 1930;22:121-183. 15. Light RW, Ball WC: Glucose and amylase in pleural effusions. JAMA 1973;225:257-260.Crossref 16. Nassau E: Diagnostic and prognostic value of estimation of the free sugar in pleural effusions. Tubercle 1941;22:249-251.Crossref 17. Sahn SA, Kaplan RC, Maulitz RM, et al: Rhematoid pleurisy. Arch Intern Med 1980;140:1237-1238.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Biochemical Features of Urinothorax

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340210107020
Publisher site
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Abstract

Abstract • In three patients with obstructive uropathy and retroperitoneal urine collections, rapidly accumulating pleural effusions developed. The diagnosis of urinothorax was confirmed when chemical analysis of pleural fluid disclosed higher creatinine concentrations than found in simultaneously obtained serum samples. Similar determinations made in 71 specimens from control patients with pleural effusions showed that pleural creatinine concentration did not exceed the serum level in other conditions. We conclude that elevated pleural fluid creatinine level is specific for the diagnosis of urinothorax. Low pleural fluid glucose concentration may also be seen in these patients. (Arch Intern Med 1982;142:1509-1511) References 1. Corriere JN, Miller WT, Murphy JJ: Hydronephrosis as a cause of pleural effusion. Radiology 1968;90:79-84.Crossref 2. Friedland GW, Axman MM, Love TL: Neonatal 'urinothorax' associated with posterior urethral valves. Br J Radiol 1971;44:471-474.Crossref 3. Barek LB, Cigtay OS: Urinothorax: An unusual pleural effusion. Br J Radiol 1975;48:685-686.Crossref 4. Laforet EG, Kornitzer GD: Nephrogenic pleural effusion. J Urol 1977;117:118-119. 5. Lahiry SK, Alkhafaji AH, Brown AL: Urinothorax following blunt trauma to the kidney. J Trauma 1978;18:608-610.Crossref 6. Belis JA, Milam DF: Pleural effusion secondary to ureteral obstruction. Urology 1979;14:27-29.Crossref 7. Baron RL, Stark DD, McClennan BL, et al: Intrathoracic extension of retroperitoneal urine collections. AJR 1981;137:37-41.Crossref 8. Chasson AL, Gady HJ, Stanley MA: Determination of creatinine by means of automatic chemical analysis. Am J Clin Pathol 1966;35:83-88. 9. Colton T: Statistics in Medicine . Boston, Little Brown & Co, 1974. 10. Light RW: Pleural effusions. Med Clin North Am 1977;61:1339-1352. 11. Hirsch A, Ruffie P, Niebut M, et al: Pleural effusion: Laboratory tests in 300 cases. Thorax 1979;34:106-112.Crossref 12. Leuallen EC, Carr DT: Pleural effusion. N Engl J Med 1955;252:79-83.Crossref 13. Storey DD, Dines DE, Coles DT: Pleural effusion. JAMA 1976; 236:2183-2186.Crossref 14. Pinner M, Moerke G: Pleural effusions. Am Rev Tuberc 1930;22:121-183. 15. Light RW, Ball WC: Glucose and amylase in pleural effusions. JAMA 1973;225:257-260.Crossref 16. Nassau E: Diagnostic and prognostic value of estimation of the free sugar in pleural effusions. Tubercle 1941;22:249-251.Crossref 17. Sahn SA, Kaplan RC, Maulitz RM, et al: Rhematoid pleurisy. Arch Intern Med 1980;140:1237-1238.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Aug 1, 1982

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