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Article in Japanese
Abstract
Case Report
A case of chylothorax with chylous effusion just below the abdominal wall after surgery of abdominal aortic aneurysm
Toshihito Otani Mayuka Yamane Yojiro Onari
Department of Respiratory Medicine, Mazda Hospital
ABSTRACT
A 69-year-old man presented at a local clinic because of shortness of breath. He was found to have pleural effusion and was referred to our hospital for further evaluation. An examination of pleural effusion revealed a milky-white, chylous fluid with increased triglycerides. He had a surgical history of abdominal aortic aneurysm a year ago. Computed tomography of the abdomen revealed to have a low density area just below the abdominal wall. A needle aspiration of this lesion revealed a milky fluid with a high concentration of triglyceride. These effusions were resolved by adherence to a low-fat-diet. The influence of the development of collateral channels associated with the exclusion of the thoracic duct according to an abdominal aortic aneurysm was considered large.
KEYWORDS
Abdominal aortic aneurysm Chylothorax Chylous ascites Conservative treatment
Received 23 Apr 2016 ／ Accepted 3 Apr 2017
AJRS, 6(4): 295-299, 2017
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