Chylothorax is a rare entity characterised by leakage of lymphatic fluid into the pleural cavity from the thoracic duct. We present a case of traumatic chylothorax following a traumatic fracture of the L1 vertebra. An 84-year-old lady presented to the emergency department after being found collapsed at home. She gave a preceding history of one day of diarrhoea. Chest X-ray showed a rightsided e...

The prenatal diagnosis and perinatal outcome of two patients with isolated foetal ascites compatible with chyloperitoneum is described. The foetal ascites resolved spontaneously after delivery with good perinatal outcome in both cases. A good prognosis can be anticipated in such cases. Antepartum and intrapartum interventions are seldom necessary.

Chylous ascites is an extremely rare complication of laparoscopic presacral neurectomy (LPSN), and treatment is still controversial. Four patients undergoing LPSN for dysmenorrhoea or chronic pelvic pain were complicated with chylous ascites. Two were successfully treated with bipolar cauterization and one, after the failure of initial treatment by bipolar cauterization, was then effectively ma...

The accumulation of chylous fluid in the abdominal cavity is an infrequent, yet alarming, complication in abdominal surgery. Laparoscopic fundoplication has assumed a central role in the surgical treatment of gastroesophageal reflux disease and is significantly altering the balance of therapy toward more common and earlier surgical intervention. We report the case of a 67-year-old woman with ga...

and pseudochylous ascites. Spontaneous bacterial peritonitis is suggested by a predominance of polymorphonuclear cells, a positive Gram stain or a positive culture.1 Chylous ascites refers to increased concentration of triglycerides (>200mg/dL)2 in the peritoneal fluid, typically the result of traumatic lymphatic obstruction, tumor, tuberculosis, filariasis, congenital abnormalities or nephroti...

Thoracic duct injury is a rare but serious complication following chest surgeries and major neck dissections. Clinically, it can present as cervical chylous fistula, chylothorax or chylopericardium. Without treatment, the mortality is up to 50% and thus, early aggressive therapy is indicated. Traditional conservative management includes low-fat diet, parenteral nutrition, careful monitoring of ...

We present the first case report of chylous ascites following total robot-assisted donor nephrectomy. A 39-year-old female underwent a transperitoneal left-sided total robot-assisted donor nephrectomy. The procedure was uneventful and the patient was discharged without any symptoms. At postoperative Day 29, the patient presented with abdominal pain, nausea and a distended, painful abdomen with ...

BACKGROUND Chyloptysis is reflux of chyle into the lungs and is a rare manifestation of primary chylous disorders. CASE PRESENTATION Over 29 months, on the basis of x-rays, a 33-year-old female was repeatedly misdiagnosed with recurrent right-sided pneumonia; her symptoms included a recurrent cough, the appearance of cheese-like sputum, and diffuse pulmonary exudates. There was a history that...

Because fatty acids with carbon chain lengths below 12 are absorbed almost wholly into the portal venous system, medium-chain triglycerides (MCT), which contain these shorter chain fatty acids, have been used in the treatment of chylothorax and chylous ascites (Fernandes, Van de Kamer, and Weijers, 1955; Hashim et al., 1964; Frank et al., 1966; Poley et al., 1967). In 3 of the 4 patients report...