Malpositioned nephrostomy tube with associated hemorrhagic pleural effusion

Johnny F Jaber; Luderve Rosier; John J Sykes 4th; Afsana Asharaf; Cesar Trillo; Adam Austin

doi:10.1016/j.rmcr.2022.101798

Malpositioned nephrostomy tube with associated hemorrhagic pleural effusion

Respir Med Case Rep. 2022 Dec 19:41:101798. doi: 10.1016/j.rmcr.2022.101798. eCollection 2023.

Authors

Johnny F Jaber¹, Luderve Rosier², John J Sykes 4th², Afsana Asharaf¹, Cesar Trillo¹, Adam Austin¹

Affiliations

¹ Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida College of Medicine, Gainesville, FL, 32608, United States.
² University of Florida College of Medicine, Gainesville, FL, 32608, United States.

Abstract

Pleural effusion of extra-vascular origin has a large differential diagnosis. Ultrasonography can be utilized alongside pleural fluid analysis to determine a pleural effusion's complexity and size, thus helping aid in both diagnostic and therapeutic management. We describe the case of a 38-year-old male with a prior medical history of neurogenic bladder and nephrolithiasis with percutaneous nephrostomy tube placed one week prior to presentation. Using ultrasonography, the nephrostomy tube was determined to be positioned within the pleural cavity with a resultant hemorrhagic pleural effusion.

Keywords: Diaphragm ultrasound; Nephrology; Pleural effusion; Pleural effusion of extra-vascular origin; Radiology; Urinothorax; Urology.

Publication types

Case Reports