Thoracic Duct Injury From Blunt Trauma

Pai, Ganesh P.; Bhatti, Nabeel; Ellison, Robert G.; Rubin, Joseph W.; Moore, H. Victor

doi:10.1097/00007611-198405000-00037

Cited by 14 publications

(4 citation statements)

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“…Chylothorax associated with thoracic vertebral injury was noted first by Krabbell in 1885 [15,16]. Until today there have been described several cases in bibliography [11,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Leturgie et al reported in 1979 a case of a patient with traumatic chylothorax in combination with a dorsal spine fracture [18].…”

Section: Discussionmentioning

confidence: 99%

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

et al. 2015

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Chylothorax is a rare form of chyle accumulation that can be associated with both traumatic and non-traumatic causes. We described a case of a patient who sustained a thoracic spine fracture-dislocation and presented with a left-sided chylothorax as a late complication to his thoracic spine trauma. A 19-year-old multi-trauma patient with bilateral pneumothorax, bilateral lung contusions and a severe thoracic spine fracture-dislocation was admitted to the intensive care unit (ICU) of our hospital intubated due to his unstable respiratory function. Bilateral thoracostomies were placed to his thoracic cavity prior to his admission to the ICU. The thoracic fracture-dislocation was stabilized with posterior fixation of his thoracic spine during his stay at the ICU. He was transferred to the neurosurgery department where at the 50th day of his hospitalization, a left-sided chylothorax was identified. Conservative management was decided and the chyle leak ceased over a period of 2 weeks. The patient was discharged from the clinic after a 3-month period of hospitalization. Traumatic chylothorax is a rare complication directly linked to thoracic spine fractures. It can occur immediately after trauma or several weeks after as in our case. Early diagnosis and treatment are essential for the avoidance of severe complications linked to the chyle loss.

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Section: Discussionmentioning

confidence: 99%

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

et al. 2015

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“…Weakness in the thoracic duct wall could be congenital or degenerative (6, 7). Thoracic duct injury is a rare but known complication of thoracic surgeries, esophagectomy (8), jugular vein or subclavian vein catheterization (9, 10), or penetrating or blunt trauma (11, 12). This patient probably injured his thoracic duct while squeezing the handles on the pruning tool.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of a chylous cyst as chest wall gouty tophus: A case of true pseudogout

Adhikesavan

Ayoub²,

Schumacher

2007

Arthritis & Rheumatism

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“…A specific gravity of 1.012 or more, a pH of 7.4-7.8, predominant lymphocytes in the cell count, and a triglyceride level of > 110 mg% also characterize the chyle [20].…”

Section: Therapymentioning

confidence: 99%

“…If the chest tube thoracostomy remains in situ for more than 14 days and the drainage rate per day exceeds 1,500 cc for adults or 100 cc per year of age per day in children older than 5 years, surgical intervention is necessary [20]. Ligation of the thoracic duct is recommended proximal and distal to the lesion, but varieties may complicate the situation and the leakage may persist [9,12,18,20], which may lead to follow-up surgery.…”

Section: Therapymentioning

confidence: 99%

Delayed Chylothorax Following Blunt Chest Trauma

et al. 2009

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Chylothorax is a very rare disease, and its diagnosis following blunt chest trauma is exceptional. Only a small number of cases have been reported in the literature. We report a case of a male patient involved in a car accident presenting a delayed chylothorax after blunt chest trauma with a bilateral serial rib fracture and fracture of the ninth thoracic vertebrae. The therapy includes thorax drainage, dietary modifications with total parenteral nutrition and, in severe cases, PEEP ventilation. Hematological monitoring is mandatory to detect metabolic abnormalities resulting from chyle loss. Surgical treatment is only required in cases of persistent or increasing intrathoracal chyle flow. Thoracoscopic ligation of the thoracic duct is then required.Severe consequences, such as cardiopulmonary abnormalities and metabolic, nutritional and immunologic disorders, can result from chylothorax. Our patient was treated successfully by chest drainage and parenteral nutrition.

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Thoracic Duct Injury From Blunt Trauma

Cited by 14 publications

References 0 publications

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

Misdiagnosis of a chylous cyst as chest wall gouty tophus: A case of true pseudogout

Delayed Chylothorax Following Blunt Chest Trauma

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