A 51-year-old male with known left ureteral staghorn calculus presented to undergo elective cystoscopy, ureteral catheter placement, and left percutaneous nephrostolithotomy. He was previously healthy. The patient complained of left lower quadrant abdominal pain on postoperative day 1 and non-contrast computed tomography abdomen/pelvis revealed mild left hydronephrosis, periureteral stranding, and fluid accumulation without evidence of drainable collection. A small left pleural effusion was also noted.
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