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Nowadays, percutaneous nephrolithotomy (PCNL) is treatment of choice for large or multiple kidney stones and stones in the inferior calyx.(1) Percutaneous nephrolithotomy is generally safe and associates with low, but indisputable complication rate.(2) Despite rarity, intra-abdominal irrigation fluid extravasation and absorption may occur during PCNL resulting in serious outcome. We present a case of massive intra-abdominal fluid extravasation in an otherwise healthy man who underwent PCNL.

A rare, but life-threatening complication of percutaneous nephrolithotomy: massive intra-abdominal extravasation of irrigation fluid.