Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 8 2016 8 12 Chylothorax as a Complication of Percutaneous Nephrolithotomy 255 257 EN Muneeb Shah MS4, Nova Southeastern University College of Osteopathic Medicine, Clearwater, USA Rehan Feroz Luke Maxfield DO AJMCR2016481 10.12691/ajmcr-4-8-1 2016 4 11 2016 5 26 2016 8 10 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.