A rare case of traumatic chylothorax after blunt thoracic trauma

Srpski Arhiv za Celokupno Lekarstvo

Milošević Bojan¹  Spasić Marko¹  Arsenijević Miloš¹  Milisavljević Slobodan¹  Mrvić Stanko²  Dončić Nikola²  Stojković Dragan² 

[1] Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac + Faculty of Medical Sciences, Kragujevac;Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac;

关键词: chylothorax;    surgery;    thoracic trauma;    Thoracotomy;   

DOI  :  10.2298/SARH160218015S

来源: DOAJ

【 摘 要 】

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. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. III41007]

【 授权许可】

Unknown