Tension chylothorax following pneumonectomy
نویسندگان
چکیده
Post-pneumonectomy chylothorax is an uncommon complication following surgery, with an estimated incidence of less than 0.7%. Post-pneumonectomy tension chylothorax, where rapid accumulation of chyle in the post-pneumonectomy space results in hemodynamic compromise, is exceedingly rare, with just 7 cases previously reported. All prior cases of tension chylothorax were managed operatively with decompressive chest tube placement followed by open thoracic duct repair. Our case is the first reported tension chylothorax to be managed conservatively by thoracostomy drainage coupled with a period of parenteral nutrition followed by a medium chain triglyceride-restricted diet.
منابع مشابه
Chylothorax complicating pneumonectomy.
Chylothorax is an uncommon clinical entity caused by obstruction or rupture of the thoracic duct. Malignant disease, mostly lymphoma or metastatic carcinoma, accounts for half and surgical trauma for a quarter of all cases.' Occasionally, chylothorax is caused by thrombosis of the great veins, benign cysts, or lymphangiomas of the thoracic duct, tuberculosis, mediastinitis, paravertebral absces...
متن کاملChylothorax: diagnosis by lipoprotein electrophoresis of serum and pleural fluid.
This report describes a 31-year-old woman who underwent a technically difficult left pneumonectomy for tuberculosis and developed thereafter a large left pleural effusion which was milky in colour. A traumatic chylothorax was suspected, and the diagnosis was confirmed by simultaneous fasting pleural and serum lipid studies and lipoprotein electrophoresis. The latter study was especially helpful...
متن کاملAcute Tension Pneumothorax Following Cardiac Herniation after Pneumonectomy
A tension pneumothorax is one of the main causes of cardiac arrest in the initial postoperative period after thoracic surgery. Tension pneumothorax and cardiac herniation must be taken into account in hemodynamically unstable patients after pneumonectomy. We report an unusual case of successful treatment of acute tension pneumothorax following cardiac herniation and intrathoracic bleeding after...
متن کاملBlunt traumatic tension chylothorax: Case report and mini-review of the literature
Tension chylothorax following blunt thoracic trauma is an extremely rare condition. Here we report such a case and review its management. A 31-year-old man was involved in a road traffic collision. The car rolled over and the patient was ejected from the vehicle. On arrival at the Emergency Department the patient was conscious and haemodynamically stable. Clinical examination of the chest and a...
متن کاملIntercostal Muscle Flap in Post Tuberculous Pneumonectomy: A New Technique
Objective: There are many risk factors for postoperative bronchopleural fistula (BPF), including extensive resection, diabetes, chronic infection, perioperative steroid therapy, preoperative chemotherapy, and radiotherapy, the risk of bronchopleural fistula increases with resection for inflammatory diseases, especially Mycobacterium tuberculosis (MTB). The aim of this study is to evaluate the e...
متن کامل