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Case report describes urinothorax in a 60-year-old female, highlighting causes and implications for treatment.
Urinothorax is a rare pleural effusion resulting from urine accumulation in the pleural space, commonly secondary to obstructive uropathy, surgical injury, or trauma. This case presents a 60-year-old female with renal calculi presenting preoperatively for elective cystoscopy and lithotripsy who endorsed chest discomfort and hypoxia was found to have a left chest mass, ultimately diagnosed as a large urinothorax. This case reviews the causes of urinothorax, its treatments, and its anesthetic implications.
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Stevens et al. (2026) studied this question.
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