Document Detail

Pleural effusion and hydronephrosis in a newborn.
MedLine Citation:
PMID:  2923019     Owner:  NLM     Status:  MEDLINE    
While the association of obstructive uropathy with ascites has been known since 1863, and with pleural effusion since 1954, the latter combination remains rare. This case report describes a male newborn with a massive left pleural effusion that was caused by same-sided hydronephrosis from obstructing posterior urethral valves. The effusion disappeared within a few days after adequate urinary drainage was established, and the infant was remained well since the abnormal urethral valves were fulgurated cystoscopically. Review of the clinical and experimental literature reveals no consensus about how pleural fluid accumulates in the presence of obstructive uropathy, and this neonate showed a direct inverse relation between the amount of pleural fluid drainage and urinary output via catheter. Hydronephrosis should be considered diagnostically when a newborn has a pleural effusion that is otherwise unexplained.
S D Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the American Board of Family Practice / American Board of Family Practice     Volume:  2     ISSN:  0893-8652     ISO Abbreviation:  J Am Board Fam Pract     Publication Date:    1989 Jan-Mar
Date Detail:
Created Date:  1989-04-20     Completed Date:  1989-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8807505     Medline TA:  J Am Board Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  55-7     Citation Subset:  IM    
Family Health Services, Kansas City, KS 66103.
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MeSH Terms
Hydronephrosis / complications*,  diagnosis,  etiology
Infant, Newborn
Pleural Effusion / etiology*,  therapy
Urethral Obstruction / complications,  congenital,  therapy

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