American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
American Journal of Medical Case Reports. 2016, 4(8), 255-257
DOI: 10.12691/ajmcr-4-8-1
Open AccessCase Report

Chylothorax as a Complication of Percutaneous Nephrolithotomy

Muneeb Shah1, , Rehan Feroz1 and Luke Maxfield DO2

1MS4, Nova Southeastern University College of Osteopathic Medicine, Clearwater, USA

2TRI Residency, Sampson Regional Medical Center, Clinton, USA

Pub. Date: August 12, 2016

Cite this paper:
Muneeb Shah, Rehan Feroz and Luke Maxfield DO. Chylothorax as a Complication of Percutaneous Nephrolithotomy. American Journal of Medical Case Reports. 2016; 4(8):255-257. doi: 10.12691/ajmcr-4-8-1


Percutaneous nephrolithotomy is a minimally invasive procedure to remove large renal calculi. Complications can range from infection to bowel damage but only rarely does the procedure result in pulmonary injury. We present the first case of chylothorax secondary to percutaneous nephrolithotomy for removal of a large renal calculus. The patient was treated with a decortication procedure and discharged to rehab shortly thereafter.

percutaneous nephrolithotomy chylothorax hemithorax

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Kallidonis P., Panagopoulos V., Kyriazis I., Liatsikos E. Complications of percutaneous nephrolithotomy: classification, management, and prevention. Curr Opin Urol 2016; 26(1): 88-94.
[2]  Michel MS., Trojan L., Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol. 2007; Apr; 51(4): 899-906.
[3]  Muzrakchi AA., Szmigielski W., Omar AJ., Younes NM. Is the 10th and 11th intercostal space a safe approach for percutaneous nephrostomy and nephrolithotomy. Cardiovasc Intervent Radiol. 2004 Sept-Oct; 27(5):503-6.
[4]  Palnizky G., Halachmi S., Barak M. Pulmonary Complications following Percutaneous Nephrolithotomy: A Prospective Study. Current Urology. 2013 Feb; 7(3):113-6.
[5]  Sofer M., Druckman I., Blachar A., Ben-Chaim J., Matzkin H., Aviram G. Non-contrast computed tomography after percutaneous nephrolithotomy: findings and clinical significance. Urology. 2012 May; 79(5):1004-10.
[6]  Staats BA., Ellefson RD., Budahn LL., Dines DE., Prakash UB., Offord K. The lipoprotein profile of chylous and non-chylous pleural effusions. Mayo Clin Proc. 1980 Nov;55(11):700-4
[7]  Nair SK., Petko M., Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg, 2007; 32(2).
[8]  Sharkey AJ and Rao JN. The successful use of octreotide in the treatment of traumatic chylothorax. Tex Heart Inst J 2012; 39(3): 428-430.
[9]  McGrath EE., Blades Z., Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med 2010; 104(1): 1-8.
[10]  Drury NE., Moro C., Cartwright N., Ali A., Nashef SA. A unilateral whiteout: when not to insert a chest drain. 2010; J R Soc Med 103(1): 31-33.
[11]  Matani S., and JR Pierce, Jr. Spilt Milk: An Unusual Cause of Bilateral Chylothorax. J Investig Med High Impact Case Rep 2015; 3(2): 2324709615583877.