A complication after percutaneous nephrolithotomy.

Double J stent was inserted through ureteroscope. On the 3rd postoperative day, the patient showed signs and symptoms of obstipation, vomiting, abdominal tenderness and rebound tenderness, and high fever. Plain abdominal x-ray at supine and upright position revealed air fluid level and no evidence of gas pattern in the pelvis (rectum) and sentinel loop in the left upper quadrant (Figure 2). Chest x-ray revealed pleural effusion in both sides (Figure 3).