{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T16:05:33Z","timestamp":1782317133892,"version":"3.54.5"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,19]]},"abstract":"<jats:p>A 56-year-old man presented with massive right haemothorax 10 days following percutaneous nephrolithotomy (PCNL) for complex, large-bulk, right renal stones. Antiplatelet medication started following coronary stenting 7\u2009months ago was stopped 5\u2009days prior and resumed 2\u2009days following surgery. Stones were cleared through two tracts, one supracostal, with placement of ureteral stent but no nephrostomy. He was discharged the next day with an unremarkable chest X-ray. He developed cough and fever after 1\u2009week. Three days later he presented with acute dyspnoea, blood pressure of 100\/60\u2009mm Hg, pulse of 120\/min and haemoglobin of 9.0\u2009g\/dL. Chest X-ray and CT scan showed a large right haemothorax. Two-litre haemothorax was drained by intercostal drainage with prompt recovery. Haemothorax is a rare complication following PCNL usually after supracostal access. Most occur at or immediately following surgery. Infection and early resumption of antiplatelet medication might have contributed to his presentation with delayed secondary haemorrhage from a pleural injury.<\/jats:p>","DOI":"10.1136\/bcr-2017-222953","type":"journal-article","created":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T11:40:14Z","timestamp":1511869214000},"page":"bcr-2017-222953","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Delayed massive haemothorax 10 days following percutaneous nephrolithotomy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Sanjay","family":"Sinha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh G","family":"Babu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallikarjun S","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.juro.2012.09.035","article-title":"Isolated upper pole access in percutaneous nephrolithotomy: a large-scale analysis from the CROES percutaneous nephrolithotomy global study","volume":"189","author":"Tefekli","year":"2013","journal-title":"J Urol"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.2","first-page":"271","article-title":"Percutaneous nephrolithotomy complications in 671 consecutive patients: a single-center experience","volume":"8","author":"Mousavi-Bahar","year":"2011","journal-title":"Urol J"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.3","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1590\/S1677-55382009000300003","article-title":"Risks and benefits of the intercostal approach for percutaneous nephrolithotripsy","volume":"35","author":"Lang","year":"2009","journal-title":"Int Braz J Urol"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.4","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1590\/S1677-55382010000200006","article-title":"Supracostal access: does it affect tubeless percutaneous nephrolithotomy efficacy and safety?","volume":"36","author":"Jun-Ou","year":"2010","journal-title":"Int Braz J Urol"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1089\/cren.2016.0050","article-title":"Delayed nephropleural fistula after percutaneous nephrolithotomy","volume":"2","author":"Kaler","year":"2016","journal-title":"J Endourol Case Rep"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2003.07.024"},{"key":"2025042713095789000_2017.nov28_1.bcr-2017-222953.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.04.103"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222953","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T20:10:06Z","timestamp":1745784606000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,28]]},"references-count":7,"alternative-id":["10.1136\/bcr-2017-222953"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222953","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,28]]}}}