chylothorax


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chylothorax

 [ki″lo-thor´aks]
a pleural effusion consisting of chyle or a chylelike fluid; it may be either congenital (such as in babies) or acquired from trauma or disease states. There are two types: chylous effusion, due to leakage of chyle from the thoracic duct, and chyliform or pseudochylous effusion, consisting of chylelike fluid, the result of a chronic disease such as tuberculosis.

chy·lo·tho·rax

(kī'lō-thōr'aks),
An accumulation of chylous fluid in the pleural space.

chylothorax

An uncommon and potentially life-threatening condition due to disruption of the flow of lymph into the thoracic duct, which is caused by penetrating or blunt trauma to the neck, chest or upper abdomen, or surgery involving the oesophagus, lung, pleura, mediastinum and heart, as well as other conditions (e.g., lymphangioleiomyomatosis or lymphoma).

Clinical findings
Pleural effusion and nutritional deterioration due to major loss of electrolytes, proteins, lipids and vitamins, often accompanied by immune deficiency and lymphopenia.

chy·lo·tho·rax

(kī'lō-thōr'aks)
An accumulation of milky chylous fluid in the pleural space, usually on the left.

chylothorax

A rare condition of accumulation of CHYLE in the space between the lung coverings (pleural cavity). The chyle escapes from the thoracic duct, usually as a result of injury.
References in periodicals archive ?
Transudative chylothorax and pleural tuberculosis in a patient with Eisenmenger syndrome: An extraordinary coincidence.
(1.) McGrath EE, Blades Z, Anderson PB: Chylothorax: aetiology, diagnosis and therapeutic options.
Cavity puncture was performed, and chylothorax and chyloperitoneum were confirmed, as well as bony destruction of her left femur.
Spearman's correlation coefficients obtained for the correlations between adenosine deaminase and cytokeratin 19 fragments in pleural fluids were significantly positive for adenocarcinomas and significantly negative for a heterogeneous group of other diseases, including Dressler syndrome, melanocarcinoma, chylothorax, and leukemia, as shown in Table 3.
Disease of the bones of the thoracic cage often presents with pleural effusion and/or chylothorax. Chylothorax is present up to 17% of the patients [50] and increases the rate of mortality and morbidity, especially if patients do not undergo surgical intervention [68].
Thoracentesis was performed, and 24 mL of the pleural fluid was drained, containing 95% lymphocytes; hence, a diagnosis of chylothorax was made.
Other complications of the procedure include paresthesia, pneumothorax, bleeding and infection, pain around the incision line, chylothorax, and esophageal injury (16).
Octreotide acetate is a somatostatin analogue established in the treatment of chylothorax; however, its utility in the management of cervical chylous fistulae has not been fully evaluated.
With sufficient hydrostatic pressure, the collection of chyle may penetrate the pleural, forming a chylothorax, which presents clinically with shortness of breath, tachypnea, and chest pain.
Biochemical analysis of pleural effusion and ascites showed an elevated level of triglycerides (2.6 mmol/L), indicative of chylothorax and chylous ascites.
His postoperative course was complicated by chylothorax and GI bleed requiring transfer to an ICU and multiple transfusions.
Surgical closure of PDA, after failure of drug therapy or in case of contraindications to available drugs, is not exempt from adverse effects, such as vocal cord dysfunction, impaired neurological outcome, risk of BDP [14, 26, 110], retinopathy of premature (ROP), chylothorax and diaphragmatic paralysis, bleeding, pneumothorax, and cardiorespiratory failure [5].