Case Of Bilateral Chylothorax Research Articles

A case of bilateral chylothorax after a total thyroidectomy and left sided modified radical neck dissection for papillary thyroid cancer

A case of bilateral chylothorax after a total thyroidectomy and left sided modified radical neck dissection for papillary thyroid cancer

P15‐15: A rare case of bilateral chylothorax and chylous ascites in diffuse large beta cell non‐hodgkin's lymphoma

P15‐15: A rare case of bilateral chylothorax and chylous ascites in diffuse large beta cell non‐hodgkin's lymphoma

Quilotórax bilateral após esvaziamento cervical: um raro relato de caso

Objetivo: relatar um caso de quilotórax bilateral após esvaziamento cervical devido a carcinoma de língua, complicação rara descrita 65 vezes na literatura. Detalhamento do caso: mulher, 63 anos, atendida no ambulatório de cirurgia de cabeça e pescoço com grande lesão vegetante em borda lateral esquerda da língua, a biopsia incisional diagnosticou carcinoma espinocelular, paciente então foi encaminhada para realizar glossectomia parcial à esquerda associado a esvaziamento cervical radical tipo 2 à esquerda e esvaziamento cervical supra homoióideo à direita. Evoluiu com dispneia moderada no 2º dia pós operatório, através do exame físico, radiografia de tórax e análise do líquido pós toracocentese foi diagnosticado quilotórax bilateral, uma complicação extremamente rara, uma vez que não houve lesão do ducto torácico. Considerações finais: trata-se de uma complicação rara e importante, o melhor método para minimizar as consequências e a taxa de morbidade é o diagnóstico precoce. Logo, deve-se aprimorar os registros na literatura e o manejo clínico cirúrgico e clínico a fim de obter prognóstico melhor desses pacientes.

A case of bilateral chylothorax owing to bilateral subclavian vein thrombosis

Chylothorax is defined by the presence of chyle in the pleural space, which denotes a leakage of lymphatic fluid from the thoracic duct or its tributaries. The various causes of chylothorax include trauma, malignancies such as lymphomas, miscellaneous causes including tuberculosis and idiopathy. Here, we report a case of bilateral chylothorax in a female patient, which resulted owing to bilateral subclavian vein thrombosis that subsided completely after treatment with anticoagulants.

Bilateral chylothorax in a patient with chronic central vein thrombosis and chronic thromboembolic pulmonary hypertension

The chylothorax is not a common presentation, and bilateral chylothorax in patients with chronically high central venous pressure secondary to venous thrombosis is a rare in incidence. We reported a case of bilateral chylothorax in a patient of chronic deep vein thrombosis (DVT) in central veins with chronic thromboembolic pulmonary hypertension who presented with 2 weeks history of increased breathlessness, bilateral chest discomfort and weakness. Work-up with chest X-ray and ultrasonography-chest showed gross left sided and mild right sided pleural effusion, thoracocentesis was consistent with chylothorax. Contrast enhanced computed tomography-chest showed multiple collateral formation of left side subclavian vein, venous Doppler showed old DVT in right and left subclavian veins and two-dimensional echocardiogram showed finding of severe pulmonary hypertension. After 24 h of fasting and conservative management, pleural drain became clear and decreased in the amount. Patient's video assisted thoracoscopic surgery was done, and thoracic duct was ligated and cut down at diaphragmatic level and bilateral talc pleurodesis done. Patient improved clinically and radiologically.

頸部郭清術後に生じた両側乳糜胸の1例

頸部郭清術後に生じた両側乳糜胸の1例

Bilateral chylothorax following left supraclavicular lymph node dissection for breast cancer: one case report and literature review

Chylothorax is a rare complication of neck dissection, and bilateral chylothorax is even rarer. However, both are potentially serious and sometimes life-threatening, especially those that are associated with left neck dissection for head and neck neoplasms. We report one case of bilateral chylothorax following left supraclavicular dissection for breast cancer. This case was treated successfully with a new conservative management approach.

Bilateral chylothorax following left sided modified radical neck dissection

Chylous fistula in the neck occurs in 1-2% of cases undergoing neck dissection with higher incidence on the left side due to damage of a high riding thoracic duct. Chylothorax is a rare complication; approximately 20 cases of bilateral chylothorax have been reported in the past 100 years. We report a case of bilateral chylothorax following neck dissection done for metastatic malignant melanoma DOI: 10.4038/cmj.v55i4.2632 Cey lon Medical Journal 2010; 55: 126-127

Three cases of bilateral chylothorax developing after neck dissection

Only 16 cases of bilateral chylothorax following neck dissection have been reported within 10 decades. In this paper, three cases of bilateral chylothorax which developed after neck dissection are reported. In all cases, conservative treatment resulted in resolution of the condition. Diagnosis may be delayed in those who are on total parenteral nutrition, and therefore particular attention should be paid to those patients. It may be difficult to treat cases of chylothorax that develop following neck dissection performed after radiotherapy.

左頚部郭清術後に生じた両側乳び胸の１例

左頚部郭清術後に生じた両側乳び胸の１例

Bilateral Chylothorax Complicating Mustard Repair of Transposition of the Great Vessels

Less than 60 cases of bilateral chylothorax have been previously reported, and only two of these involve complicated Mustard procedures. We describe herein a patient in whom severe bilateral chylothorax developed three weeks after Mustard repair of D transposition. Complete reversal of this condition was obtained with revision of the constricted interatrial baffle and ligation of the thoracic duct. This cases is compared clinically with previously reported instances of chylothorax, and the role of played by obstruction of the superior vena cava after a Mustard procedure for transposition of the great vessels is emphasized.