Bilateral Chylhotorax after Falling from Height
Chylothorax is accumulation of chyle in the pleural cavity due to disruption of the thoracic duct. The causes can be classified as neoplastic, traumatic (iatrogenic or noniatrogenic), congenital, sporadic, spontaneous, and miscellaneous. A 22-year-old man with no feature in his history and family hi...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/618708 |
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| author | Vildan Akpinar Fulya Yilmaz Duran Elif Duman Murat Yasar Özkalkanli Özgür Duran Burcu Horsanali |
| author_facet | Vildan Akpinar Fulya Yilmaz Duran Elif Duman Murat Yasar Özkalkanli Özgür Duran Burcu Horsanali |
| author_sort | Vildan Akpinar |
| collection | DOAJ |
| description | Chylothorax is accumulation of chyle in the pleural cavity due to disruption of the
thoracic duct. The causes can be classified as neoplastic, traumatic (iatrogenic or noniatrogenic),
congenital, sporadic, spontaneous, and miscellaneous. A 22-year-old man with no feature in his history and
family history was referred to emergency department with the case of falling from height. Abdominal computed
tomogram (CT) revealed laceration of liver, grade 5 splenic laceration, fracture of the left acetabulum,
and dislocation of the left hip. He was optimized for emergency splenectomy and close left hip
reduction. On the 2nd day of the operation, bilateral chylotorax revealed. The treatment depends on its
etiology, the amount of drainage, and the clinical picture. Treatment can be classified into 3
categories treatment of the underlying condition, conservative management (such as bed rest, nil by
mouth or low fat medium chain triglycerides by mouth and total parenteral nutrition), and surgical
management by ligation or clipping of the thoracic duct with open thoracotomy or video-assisted
thoracoscopic surgery. The main purpose of surgical treatment is to stop the chylous leak. |
| format | Article |
| id | doaj-art-c7c0a1653dd841b598c562f5b57ed506 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-c7c0a1653dd841b598c562f5b57ed5062025-02-03T01:24:56ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/618708618708Bilateral Chylhotorax after Falling from HeightVildan Akpinar0Fulya Yilmaz Duran1Elif Duman2Murat Yasar Özkalkanli3Özgür Duran4Burcu Horsanali5Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, TurkeyAnaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, TurkeyThoracic Surgery Department, Bozyaka Training and Research Hospital, İzmir, TurkeyAnaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, TurkeyEmergency Medicine Department, Bozyaka Training and Research Hospital, İzmir, TurkeyAnaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, TurkeyChylothorax is accumulation of chyle in the pleural cavity due to disruption of the thoracic duct. The causes can be classified as neoplastic, traumatic (iatrogenic or noniatrogenic), congenital, sporadic, spontaneous, and miscellaneous. A 22-year-old man with no feature in his history and family history was referred to emergency department with the case of falling from height. Abdominal computed tomogram (CT) revealed laceration of liver, grade 5 splenic laceration, fracture of the left acetabulum, and dislocation of the left hip. He was optimized for emergency splenectomy and close left hip reduction. On the 2nd day of the operation, bilateral chylotorax revealed. The treatment depends on its etiology, the amount of drainage, and the clinical picture. Treatment can be classified into 3 categories treatment of the underlying condition, conservative management (such as bed rest, nil by mouth or low fat medium chain triglycerides by mouth and total parenteral nutrition), and surgical management by ligation or clipping of the thoracic duct with open thoracotomy or video-assisted thoracoscopic surgery. The main purpose of surgical treatment is to stop the chylous leak.http://dx.doi.org/10.1155/2014/618708 |
| spellingShingle | Vildan Akpinar Fulya Yilmaz Duran Elif Duman Murat Yasar Özkalkanli Özgür Duran Burcu Horsanali Bilateral Chylhotorax after Falling from Height Case Reports in Surgery |
| title | Bilateral Chylhotorax after Falling from Height |
| title_full | Bilateral Chylhotorax after Falling from Height |
| title_fullStr | Bilateral Chylhotorax after Falling from Height |
| title_full_unstemmed | Bilateral Chylhotorax after Falling from Height |
| title_short | Bilateral Chylhotorax after Falling from Height |
| title_sort | bilateral chylhotorax after falling from height |
| url | http://dx.doi.org/10.1155/2014/618708 |
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