chylothorax


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chylothorax

[¦kīl·ō¦thȯr‚aks]
(medicine)
An accumulation of chyle in the pleural cavity.
References in periodicals archive ?
Tunneled pleural catheters in the management of chylothorax from central venous catheter-related superior vena cava obstruction.
First right-sided and then left-sided chylothorax (bilateral) developed that lasted two and one month, respectively (Figures 1, 2).
Patients with chylothorax, pseudochylothorax, pleural effusion in the form of transudate and empyema were excluded: one patient with chylothorax had a history of prior trauma, in 1 patient with pseudochylothorax, it was detected that the patient had pleural fluid before the diagnosis of lung cancer, the content of fluid was intense in patients with empyema, pleural effusion in the form of transudate was related with additional diseases and was not related with lung cancer.
Herein, we report a brief case for Gorham-Stout syndrome of the femur with chylothorax and chyloperitoneum in a patient.
Table 1: Indications for thoracostomy in groups Injury Trochar ICD Blunt ICD n=25 (%) Cn=25 (%) Hemothorax 14 (56) 13 (52) Pneumothorax 9 (26) 10 (40) Tension 2 (8) 1 (4) pneumothorax Flail chest 4 (16) 5 (20) Table 2: Complications Complications Trochar thoracostomy Blunt thoracostom n=25(%) y (n=25) Vascular injury 1 (6.66) 0 Diaphragm injury 1 (6.66) 0 Splenic injury 1 (6.66) 0 Liver injury 0 0 Bowel injury 1 (6.66) 0 Bronchopleural 1 (6.66) 0 fistula Heart injury 0 0 Subcutaneous 3 (20) 0 placement Intraparenchymal 1 (6.66) 0 placement Re-expansion 0 0 pulmonary edema Phrenic nerve 0 0 injury Esophageal 0 0 perforation Chylothorax 0 0 Cardiac 0 0 dysrhythmias Infectious 2 (13.33) 2 (13.33) complications
In effusions, cholesterol may differentiate transudates from exudates; triglyceride may indicate chylothorax. [3,4]
Anastomotic leak, hoarseness, chylothorax, fundal necrosis; fistulation, abdominal pain, bloating, vomiting, pulmonary complications; and mortality over a period of 28 days was documented for each patient.
In contrast, minimally invasive thoracoscopic surgery is associated with significantly less blood loss, reduced postoperative pain and pulmonary complication, increased respiratory function, diminished risk of chylothorax, and shortened length of hospital stay (2022).
Simon, "Connexin37 and Connexin43 deficiencies in mice disrupt lymphatic valve development and result in lymphatic disorders including lymphedema and chylothorax," Developmental Biology, vol.
A variety of rare complications such as perforation of the left brachiocephalic vein and massive hemothorax, chylothorax, internal mammary artery malposition of catheter, and inadvertent placement of a CVC in the left pericardiophrenic vein have been reported previously [5-8].
The patients were separated into eight subgroups of benign and malignant pleural fluids (Table 2): adenocarcinomas of different sites (n = 30), tuberculosis (n = 28), transudates by congestive heart failure (n = 21), simple and complicated parapneumonic effusion (n = 15), nontuberculous empyema (n = 8), squamous-cell carcinomas of different sites (n = 7), lymphomas (n = 4), and other causes (n = 6), including Dressler syndrome (n = 3), melanocarcinoma (n = 1), chylothorax (n = 1), and leukemia (n = 1).