eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-08-12 4 8 255 257 10.12691/ajmcr-4-8-1 AJMCR2016481 article Muneeb Shah ms3211@nova.edu 1 Rehan Feroz 1 Luke Maxfield DO 2 MS4, Nova Southeastern University College of Osteopathic Medicine, Clearwater, USA TRI Residency, Sampson Regional Medical Center, Clinton, USA 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. http://pubs.sciepub.com/ajmcr/4/8/1/ajmcr-4-8-1.pdf percutaneous nephrolithotomy chylothorax hemithorax