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A rare case of traumatic chylothorax after blunt thoracic trauma
- Source :
- Srpski Arhiv za Celokupno Lekarstvo, Vol 145, Iss 1-2, Pp 73-76 (2017), Srpski arhiv za celokupno lekarstvo (2017) 145(1-2):73-76
- Publication Year :
- 2017
- Publisher :
- Serbian Medical Society, 2017.
-
Abstract
- Introduction. Chylothorax is an accumulation of chyle in the pleural cavity due to a disruption of the thoracic duct. Traumatic chylothoraces are usually a result of a penetrating trauma and disruption of the thoracic duct, but blunt traumatic chylothorax is a rare condition. The aim of this paper is to present a rare case of traumatic chylothorax after blunt thoracic trauma. Case Outline. We present a case of traumatic chylothorax after blunt thoracic trauma in a patient injured in a motor vehicle accident. The patient had a right-sided fracture of rib XI, hydropneumothorax, lung contusion, and signs of pneumomediastinum. We performed thoracic drainage, but a few days later, according to the increase of amount of the fluid daily drained, and the confirmation of laboratory findings of the analyzed fluid, we made a diagnosis of chylothorax and the patient underwent a thoracotomy, where we sutured the thoracic duct. Conclusion. Chylothorax should be considered in patients after chest trauma if they develop a milky pleural effusion. Analysis of pleural fluid and level of triglycerides is important for the diagnosis and treatment of chylothorax. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. III41007]
- Subjects :
- medicine.medical_specialty
Chyle
Pleural effusion
medicine.medical_treatment
lcsh:Medicine
thoracic trauma
thoracotomy
Thoracic duct
surgery
03 medical and health sciences
0302 clinical medicine
chylothorax
medicine
030212 general & internal medicine
Thoracotomy
Hydropneumothorax
business.industry
Traumatic Chylothorax
lcsh:R
Chylothorax
General Medicine
medicine.disease
3. Good health
Surgery
medicine.anatomical_structure
business
Penetrating trauma
Subjects
Details
- Language :
- English
- ISSN :
- 24060895 and 03708179
- Volume :
- 145
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Srpski Arhiv za Celokupno Lekarstvo
- Accession number :
- edsair.doi.dedup.....558e87b079f537f08da8a59fb440ec90