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Title: A rare case of traumatic chylothorax after blunt thoracic trauma
Authors: Spasic M.
Arsenijević, Momir
Dončić N.
Mrvić S.
Stojkovic D.
Milosevic, Bojan
Milisavljević D.
Issue Date: 2017
Abstract: © 2017, Serbia Medical Society. All rights reserved. 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.
Type: article
DOI: 10.2298/SARH160218015S
ISSN: 0370-8179
SCOPUS: 2-s2.0-85016090723
Appears in Collections:Faculty of Medical Sciences, Kragujevac

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