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Article in Japanese
Abstract
Case Report
A case of nonsurgical traumatic chylothorax with leaks identified by lymphangiography
Honami Iwataa Teruaki Nishiumaa Koichiro Iwanagab Noriaki Sakamotoc Mamoru Hasec
aDepartment of Respiratory Medicine, Kakogawa Central City Hospital
bDepartment of Thoracic Surgery, Kakogawa Central City Hospital
cDepartment of Radiology, Kakogawa Central City Hospital
ABSTRACT
A 27-year-old woman who had suffered from dyspnea for a week was admitted to our hospital. A month earlier she had broken her upper right arm. Chest X-ray showed left pleural effusion, which was diagnosed as chylothorax. Thoracoscopy was performed with local anesthesia and revealed a gradual chylous leak from the ridges of the diaphragm. Although a chest tube was inserted, her pleural effusion did not noticeably reduce even after fat-free nutrition therapy along with a central venous catheter. Lymphangiography was performed and detected lymphatic leaks from the left thoracic duct. Octreotide with subcutaneous injection was also given for 8 days, but there was no change in the effusion. Then, thoracic duct ligation was performed via video-assisted thoracic surgery and she was discharged 23 days after admission.
KEYWORDS
Chylothorax Lymphangiography Trauma Thoracic duct ligation
Received 29 Aug 2018 ／ Accepted 20 Dec 2018
AJRS, 8(2): 138-141, 2019
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