Delayed Chylothorax Following Blunt Chest Trauma

Schurz, Mark; Petras, Nina; Platzer, Patrick; Hofbauer, F; Vécsei, V.

doi:10.1007/s00068-009-8127-z

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…In the current metadata, conservative treatment succeeded in 71.4% of the cases. [1,4,6,7,9,16,17,[19][20][21][22][23][24]. Routine conservative management is not recommended as it yields 50% mortality rate; this decreased to 10% with classical surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Chylothorax caused by blunt chest trauma: a review of literature

Kakamad

Salih

Mohammed

et al. 2020

Indian J Thorac Cardiovasc Surg

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Chylothorax is the accumulation of chyle in the pleural cavity that typically contains a high concentration of triglycerides. Blunt chest trauma is a rare cause. The aim of this study is to review all of the reported cases of chylothorax caused by blunt chest trauma. Available databases were explored systematically for the condition and the eligible papers were included. The literature search revealed 30 studies with 39 cases, 72.3% of the cases were male, and 21.7% of the patients were female. The age range varied between 4 and 75 years with a mean age of 35.8 years. All of the patients were diagnosed after fluid sampling from the pleural fluid by thoracentesis and/or chest tube insertion. About 71.4% of the patients were treated successfully by conservative management: others (28.6%) were managed surgically. Although it is a rare condition, persistent milky drainage after blunt chest trauma should raise the suspicion of chylothorax. Pleural fluid sampling is the cornerstone of the diagnosis. In the majority of the cases, conservative treatment is quite enough. Surgery is indicated whenever non-operative measures failed.

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Section: Discussionmentioning

confidence: 99%

Chylothorax caused by blunt chest trauma: a review of literature

Kakamad

Salih

Mohammed

et al. 2020

Indian J Thorac Cardiovasc Surg

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Late-onset chylothorax during chemotherapy after lobectomy for lung cancer

et al. 2019

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Rationale: Chylothorax is usually diagnosed within a few days after lobectomy. Late-onset chylothorax following trauma or thoracic surgery is rare but potentially lethal, lacking reliable preventive methods. Patient concerns: A 54-year-old male patient complained of dyspnea during adjuvant chemotherapy on the 35th postoperative day after right middle lobectomy and systemic lymph node dissection (SLND) for lung cancer. His computed tomography indicated massive pleural effusion filling in the right chest cavity. Diagnoses: The patient was primarily diagnosed as late-onset chylothorax, without definite evidence to exclude spontaneous chylous leakage. Interventions: Uniportal video-assisted thoracoscopic thoracic duct ligation (TDL) was performed for him, as conservative treatment using octreotide with fat-free diet turned out to be ineffective. Outcomes: His pleural effusion was gradually diminished after reoperation, and the patient was discharged 9 days after TDL. Lessons: Postoperative late-onset or spontaneous chylothorax should be kept in mind after pulmonary resection and SLND, and the exclusion of chylous leakage could be considered as a precondition of chest tube removal.

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Delayed Chylothorax Following Blunt Chest Trauma

Cited by 2 publications

References 23 publications

Chylothorax caused by blunt chest trauma: a review of literature

Chylothorax caused by blunt chest trauma: a review of literature

Late-onset chylothorax during chemotherapy after lobectomy for lung cancer

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