Systematic management of chyle
fistula: The southwestern experience and review of the literature.
It is important to remember that chyle
leaks slowly into the peritoneal cavity through lymphatic fistulas or by back-pressure on the intestinal lymphatics, and significant quantities of chylous ascites may take some time to accumulate (5).
in the pleural space was first described by Bartolet in 1633, and, since its initial description, numerous causes have been well-described, among which trauma and malignancies are the leading causes.
In this scenario, the reason for chylothorax appeared to be involvement of the thoracic duct by KS, leading to obstruction and a resultant leakage of chyle
from the thoracic duct.
For example, such needs include: education on physical & functional body changes, postoperative movement precautions, skin & scar care, signs/symptoms of infection & chyle
Although the reason of persistent pleural drainage was not chyle
, high dose octreotide diminished the amount of pleural effusion.
The fluid was high in protein, LDH and triglycerides, suggesting it was chyle
These channels, except for the lacteals which contain a milky fluid called chyle
, contain a clear liquid known as lymph which drains to the lymph nodes and ultimately reaches the thoracic duct or the right lymphatic duct which direct the lymph into the venous system at the junction of the jugular and subclavian veins on either side (Leeds, 1997).
The term chylothorax is used to describe this fluid because the fluid resembles the appearance of chyle
, which is the milky fluid taken up by the lacteals from the intestines during digestion.
Abstract: Chylothorax occurs when a disruption in the thoracic duct allows chyle
to escape into the pleural space.
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aCHE baCK liCKEd choCOlate aCQuit laCQUer saCQUE sGraffito louGH houGHEd maHzor Kin eKE ginKGo KHaKi jinriKIshaw puKKa treKKEd Quit QUay piQUE liQUOrice except XHosa
Signs of this complication include the presence of profuse and continuous drainage of chyle
(a milky or opaque fluid) from the operative site (Moore & Haughey, 1997).