Urinothorax is an uncommon complication following percutaneous nephrolithotomy.We present a case of dyspnea and fever after a percutaneous nephrostolithotomy,next chest CT indicated a significant left pleural effusion and urinothorax was confirmed by the pleural fluid analysis.Chest tube placement did not improve the patient's dyspnea.The patient finally recovered after the thoracoscopic surgery.
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