Ann Clin Case Rep | Volume 5, Issue 1 | Case Report | Open Access

Urinothorax: Really Worth to Fear it?

Mehmet Yildızhan*

Department of Urology, Ankara City Hospital, Turkey

*Correspondance to: Mehmet Yildızhan 

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Pleural Effusions (PE) due to pleural injury following supracostal Percutaneous Nephrolithotomy (PCNL) occur in upwards of 15% of patients; however, these effusions are invariably diagnosed immediately postoperative or during the hospital stay. We report a 33-years-old female underwent an uneventful supracostal left PCNL staghorn stone procedure. She developed a Nephropleural Fistula (NPF). It’s a rare but serious thoracic complication of PCNL. She was treated with left chest tube drainage and an indwelling ureteral catheter placement. Early recognition and management of a pleural injury is critical to avoid life-threatening situations. But, despite all interventions on time development of persistent NPF rate is 0.87%. We presented management of NPF which treated by open surgery.


Complications; Nephrolithotomy; Nephropleural fistula; PCNL; Urinothorax


Yildızhan M. Urinothorax: Really Worth to Fear it?. Ann Clin Case Rep. 2020; 5: 1792..

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