GENERALITIES OF THE CHYLOTHORAX IN THE ADULT PATIENT
Abstract
Chylothorax occurs when there is rupture, laceration or obstruction of the thoracic duct or its main tributaries, resulting in the release of chyle into the pleural space. It most commonly occurs from trauma or malignancy, but other causes have been described. Diagnosis involves thoracocentesis and cholesterol and triglyceride measurement in the pleural fluid. Complications include malnutrition, immunosuppression and respiratory distress. Treatment may be either conservative or aggressive depending on the clinical scenario.
References
2. Maldonado F, Hawkins FJ, Daniels CE, et al. Pleural fluid characteristics of chylothorax. Mayo Clin Proc 2009: 84-129.
3. Candas F, Yildizhan A, Gorur R, Isitmangil T. Is bilateral chylothorax possible after simple cough? Yes. Asian Cardiovascular Thoracic Annals. 2014 Jun 13.
4. Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg 2007: 32-36.
5. Emmet E. McGrath, Zoe Blades, Paul B. Anderson, Chylothorax: Aetiology, diagnosis and therapeutic options. Respiratory Medicine (2010): 104-108.
6. Bryant AS, Minnich DJ, Wei B, Cerfolio RJ. The Incidence and Management of Postoperative Chylothorax After Pulmonary Resection and Thoracic Mediastinal Lymph Node Dissection. The Annals of Thoracic Surgery. Volume 98, Issue 1, July 2014: 232–237.
7. Arunabh Talwar and Hans J. Lee. A Contemporary Review of Chylothorax. The Indian Journal of Chest Diseases & Allied Sciences 2008; Vol. 50 (4): 343-351.
8. Sepúlveda Francisco Reyna, Martínez Vela Ángel, Sánchez Salazar Sergio, Mercado Longoria Roberto, Montero Cantú Carlos, Muñoz Maldonado Gerardo. Fibrosis mediastinal, una causa poco frecuente de quilotórax bilateral. Reporte de caso. Rev. am. med. respir. vol.16 no.4 CABA dic. 2016: 380-382.
9. Hongchun Du, Mai Xiong, Huai Liao, Yifeng Luo, Huijuan Shi and Canmao Xie. Chylothorax and constrictive pericarditis in a woman due to generalized lymphatic anomaly: a case report. Journal of Cardiothoracic Surgery (2018) 13:59. https://doi.org/10.1186/s13019-018-0752-3
10. Rajesh Thomas, Y.C. Gary Lee. Management of Benign and Malignant Pleural Effusions. Thoracic Surgery Clinics. Volume 23, Issue 1, February 2013: 25–42.
11. López López M.ª V., Luengo Pérez L. M., Rangel Mayoral J. F. y Liso Rubio F. J. Eficacia y seguridad del octreótide asociado a nutrición parenteral total en el tratamiento conservador del quilotórax. Nutrición Hospitalaria. 2012; 27(3): 948-949.
12. Sirvent Ochando M, López Villodre P, Martinez Seguí MJ. Soporte nutricional y tratamiento con octreotido del quilotórax. Nutrición Hospitalaria 2010; 25: 113-119.
13. Nur A. Ismail, Jacqueline Gordon and Joel Dunning. The use of octreotide in the treatment of chylothorax following cardiothoracic surgery. Interactive CardioVascular and Thoracic Surgery 20 (2015): 848–854.
14. Pego-Fernandes . Paulo Manuel, Boldrini Nascimbem Mauro, Ranzani Otávio T., Satsuki Shimoda Mónica, Monteiro Rosângela, Biscegli Jatene Fábio. Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children. J Bras Pneumol. 2011;37(1):28-35.
15. Adrienn Csiszkó, György Herr, Sándor Sz. Kiss, Judit Hallay, Zoltán Gyöngyösi, and Zsolt Szentkereszty. VATS therapy of chylothorax caused by leiomyomatosis complicated with tuberous sclerosis complex. J Minim Access Surg. 2013 Apr-Jun; 9(2): 84–86.
16. Brown SR, Fernandez C, Bertellotti R, Asensio JA. Blunt rupture of the thoracic duct after severe thoracic trauma. Trauma Surg Acute Care Open. 2018 Jun 20;3(1):e000183. doi: 10.1136/tsaco-2018-000183. eCollection 2018.
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