Chylothorax. Medical search. Frequent questions

There are three main types of chylothorax: traumatic, non-traumatic, and idiopathic. (wikipedia.org)
Octreotide as therapeutic option for congenital idiopathic chylothorax: a case series. (medscape.com)
Clinicians must rule out all possible malignant causes before designating the chylothorax as idiopathic. (medscape.com)
8 Bulbul A, Okan F, Nuhoglu A. Idiopathic congenital chylothorax presented with severe hydrops and treated with octreotide in term newborn. (thieme-connect.de)
Congenital idiopathic chylothorax is the accumulation of chylous fluid in the pleural space. (ispub.com)
4.18mmol/l and specific gravity of 1015 now diagnostic for congenital idiopathic chylothorax. (ispub.com)
Seat belt-induced chylothorax: a cause of idiopathic chylothorax? (org.al)
Case series: Seven Patients with idiopathic intractable chylous ascites and chylothorax were quantified using ultrasonogram and then subjected to fluoroscopic intranodal lipiodol lymphangiogram. (mdpub.net)
Prospective evaluation of lymphatic embolization as part of the treatment in dogs with presumptive idiopathic chylothorax. (ufl.edu)

abstract = "Chylothorax is a rare clinical condition that can be attributed to a damaged thoracic duct. (aku.edu)

In cases of postoperative chylothorax, the first sign may be persistent drainage from intercostal drains. (wikipedia.org)
Historically the most common form of chylothorax was non-traumatic, but traumatic chylothoraces now represent the majority of cases, with most arising as postoperative complications of surgery. (wikipedia.org)
Management of postoperative chylothorax. (medscape.com)
Utility of a clinical practice guideline in treatment of chylothorax in the postoperative congenital heart patient. (medscape.com)
[ 10 ] Of the 1341 children who underwent correction of congenital heart disease, 18 (1.3%) developed postoperative chylothorax, which was managed with a therapeutic protocol that included complete drainage of chyle collection and controlled nutrition. (medscape.com)
As previous studies have revealed, postoperative chylothorax is a rare complication of cardiothoracic surgery procedures, especially myocardial revascularization [1-4]. (who.int)
The first postoperative day was uneventful, but the second was complicated by severe left-sided chylothorax. (who.int)
Postoperative chylothorax, albeit rare, is a serious complication with a high mortality rate, which can approach 50% in untreated patients [4]. (who.int)
On the second postoperative day, our patient developed severe chylothorax, which lasted for 21 days. (who.int)
Chylothorax is most commonly a result of postoperative injury to the thoracic duct. (aafp.org)
On postoperative day 3, after resuming oral intake, the patient was diagnosed with chylothorax. (biomedcentral.com)
On postoperative day 3, after he started oral intake, the pleural effusion from the thoracic drain became chylous, and he was diagnosed with chylothorax. (biomedcentral.com)
11. Ligation of the thoracic duct without thoracotomy for the treatment of postoperative chylothorax: a newly designed surgical procedure. (nih.gov)
16. Early thoracic duct ligation for postoperative chylothorax. (nih.gov)

It is important to distinguish a chylothorax from a pseudochylothorax (a pleural effusion that happens to be high in cholesterol), which has a similar appearance visually but is caused by more chronic inflammatory processes and requires a different treatment. (wikipedia.org)
Chylothorax can be distinguished from pseudochylothorax by fluid analysis. (medscape.com)
Cholesterol effusions (also known as pseudochylothorax or chyliform effusion) are important to differentiate from chylothorax. (practo.com)

In particular, cardiothoracic surgery has been associated with 69-85% of cases of chylothorax in children. (medscape.com)
In the literature there are 16 cases of chylothorax associated with lymphangiomatosis of the bone. (nih.gov)
In conclusion, conservative therapy in uncomplicated cases of chylothorax seems to be a favourable option, and surgical intervention should remain as a final choice if conservative therapy fails. (who.int)
We suggest that when dealing with cases of chylothorax, constrictive pericarditis should be considered among the causes. (aku.edu)

Once chylothorax resolved, a 6-week diet of medium-chain triglycerides was given. (medscape.com)
Chylothorax is mainly treated by diet modification, including a low-fat diet or a diet with medium-chain triglycerides. (who.int)

A small chylothorax may not cause any symptoms and only be detected on a chest X-ray performed for another reason. (wikipedia.org)
A large chylothorax may lead to breathlessness or a feeling of pressure in the chest, caused by fluid restricting the expansion of the lungs, although large chylothoraces may remain asymptomatic if the chylothorax has accumulated slowly, as the lungs may have had time to become used to the pressure. (wikipedia.org)
Fever or chest pain are not usually associated with chylothorax, as chyle does not generate inflammation by itself. (wikipedia.org)
On examination, chylothorax may lead to reduced breath sounds on the affected side, associated with a dull sound when the chest is tapped or percussed. (wikipedia.org)
Chylothorax caused by blunt chest trauma: a review of literature. (medscape.com)
The 2017 American College of Radiology (ACR) Appropriateness Criteria indicates that if the etiology of the chylothorax is unknown, obtain computed tomography (CT) scanning or magnetic resonance imaging (MRI) of the chest and abdomen for evaluation of the lymphatic vessels, and to rule out vascular abnormalities and/or malignancy. (medscape.com)
[ 4 ] The addition of contrast medium to CT scanning of the chest and abdomen may be useful when venous thrombosis is a suspected cause for chylothorax. (medscape.com)
Chylothorax is the accumulation of lymphatic fluid in the pleural space (the thin space between the lung and the chest cavity). (icts.com.sg)
The mean time of maintenance of the chest tube was 16.08 days (95% CI 12.54 - 19.63), and the length of hospital stay was 23.74 days (95% CI 16.08 - 31.42) in patients with chylothorax receiving nonoperative treatment . (bvsalud.org)
A 15- year-old boy was referred to Imam Reza Hospital with a right chest tube and chylothorax for 40 days. (tanaffosjournal.ir)
Blunt trauma causing a chylothorax is rare but, it should be considered in patients who sustain chest trauma and then develop a pleural effusion as it can lead to significant morbidity and mortality. (ijsr.net)

Incidence and management of chylothorax after esophagectomy. (medscape.com)

The most common cause of an infectious chylothorax is a complication of tuberculous lymphadenitis. (wikipedia.org)
Injury of such a backflowing LAMLNC is more likely to explain chylothorax as a complication of LIMA harvesting than the injury of the thoracic duct itself since this is more deeply located in this region. (who.int)
Chylothorax is a rarely recognised post-operative complication following repair of congenital diaphragmatic hernia. (smj.org.sg)
Chylothorax after thoracic surgery is a severe complication with high morbidity and mortality rate of 0.10 (95% confidence interval [CI] 0.06 - 0.02). (bvsalud.org)
Left chylothorax exacerbated because of the complication of right thoracotomy. (tanaffosjournal.ir)
We described a case of a patient who sustained a thoracic spine fracture-dislocation and presented with a right sided chylothorax as a late complication to his thoracic spine trauma. (org.al)
Traumatic chylothorax, a complication of fracture-dislocation of the spine. (org.al)
Chylothorax after thoracic surgery is a rare but severe complication. (biomedcentral.com)

Chylothorax: aetiology, diagnosis and therapeutic options. (thieme-connect.de)
Schild HH, Pieper C. [Chylothorax: Current Therapeutic Options]. (org.al)

Hayashi K, Hanaoka J, Ohshio Y, Igarashi T. Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection. (org.al)
Among five patients in our study, there was a 80 - 90 % reduction of chylothorax in two patients, a 50 - 60 % reduction of chylothorax in two patients, and a 20 - 30 % reduction of chylous ascites in one patient. (mdpub.net)
Conclusion: Intranodal fluoroscopic lymphangiogram is a valuable tool in imaging the lymphatics and detecting the congenital abnormality or post-traumatic leak as a cause for chylous ascites/chylothorax. (mdpub.net)
Central conducting lymphatic anomalies (CCLA) occur when there is a disruption of central lymphatic flow resulting in complications such as non-immune fetal hydrops, chylothorax, chylous ascites, protein-losing enteropathy, other effusions, or lymphedema. (nih.gov)

ACR Appropriateness Criteria chylothorax treatment planning. (medscape.com)

The timing of surgical management is controversial and depends on the etiology of the chylothorax and the patient's overall condition. (medscape.com)
A malignant etiology of the chylothorax must be ruled out, as greater than 50% of cases are due to malignancy, of which lymphoma accounts for approximately 75% of cases, followed by lung carcinoma. (medscape.com)
Incidence and etiology of chylothorax after congenital heart surgery in children. (medscape.com)
Etiology and management of chylothorax following pediatric heart surgery. (medscape.com)
Lymphoma is the most common etiology, representing about 60% of all cases, with non-Hodgkin lymphoma more likely than Hodgkin lymphoma to cause chylothorax. (medscape.com)
Etiology of chylothorax in 203 patients. (org.al)

Dasatinib-Induced Chylothorax in Chronic Myeloid Leukemia" by Zulfiqar Zulfiqar Qutrio Baloch Qutrio Baloch, Agha Abbas Shabber et al. (aku.edu)

A chylothorax is an abnormal accumulation of chyle, a type of lipid-rich lymph, in the space surrounding the lung. (wikipedia.org)
Chylothorax is an accumulation of chyle in the pleural cavity due to a disruption of the thoracic duct. (ijsr.net)
Chylothorax is the accumulation of chyle, which is composed of fat droplets and lymph fluid, in the pleural cavity. (aafp.org)
The neonatal course of infants with congenital chylothorax is often complicated with cardiorespiratory failure, need for thoracocentesis, immune dysfunction, slow initiation of feeds, interruptions in feed advancements, re-accumulation of fluid, and malnutrition due to the ongoing loss of protein-rich pleural fluid. (frontiersin.org)

Cancers like chronic lymphocytic leukemia, lung cancer, lymphoma, Kaposi sarcoma, metastatic carcinoma or esophageal cancer are potential causes of chylothorax. (wikipedia.org)

Schild HH, Strassburg CP, Welz A, Kalff J. Treatment options in patients with chylothorax. (medscape.com)
18. Approach to patients with chylothorax complicating pulmonary resection. (nih.gov)

Congenital chylothorax, involving multiple lymphatic vessel anomalies or thoracic cavity defects and potentially associated with other congenital anomalies, is the leading cause of pleural effusion in neonates. (medscape.com)
Thoracotomy with parietal pleurectomy on the side of the effusion is usually effective in controlling the chylothorax. (nih.gov)
Laboratory analysis of the pleural effusion is crucial for chylothorax diagnosis. (gencat.cat)
We present the case of a 15-year-old boy with chylothorax, whose effusion was due to constrictive pericarditis. (aku.edu)
Pseudo chylothorax is a rare form of pleural effusion. (nih.gov)
We describe a patient with pleural effusion lasting over 20 years who developed pseudo chylothorax and Mycobacterium tuberculosis in fluid culture. (nih.gov)
Most cases of congenital pleural effusion are associated with other findings such as hydrops, chylothorax related to lymphatic malformations, significant cardiac malformations, and genetic syndromes like trisomies. (frontiersin.org)
A pleural effusion that occurs secondary to malformations has a variable prognosis, and a chylothorax associated with lymphoproliferative disorders tends to have a poor prognosis. (frontiersin.org)

These diseases cause chylothorax by obstructing or destroying the thoracic duct. (wikipedia.org)

Malignancies are the most frequent cause of non-traumatic chylothorax. (wikipedia.org)
In 1875, H Quinke described the first traumatic chylothorax. (medscape.com)
Non traumatic chylothorax several years after spine surgery is a rare condition. (org.al)
Non-traumatic chylothorax occurring several years after spine surgery is a rare condition, and there is limited literature available on this particular pathology. (org.al)
Pillay TG, Singh B. A review of traumatic chylothorax. (org.al)

In a retrospective study involving 392 pediatric patients (mean age, 97 days) who underwent surgical treatment of congenital heart disease to determine whether the site of insertion of central venous lines was associated with the occurrence of chylothorax after cardiac surgery, Borasino et al reported that the insertion of central venous lines in the upper body had an increased association with postsurgical chylothorax. (medscape.com)
Treatment of Postsurgical Chylothorax. (org.al)

We report a case in which the TD course was identified using patent blue V during TDL for chylothorax after surgery for a thoracic aortic aneurysm. (biomedcentral.com)

6. [Direct approach to the site of injury of the thoracic duct in treatment of chylothorax after pulmonary resection]. (nih.gov)

We present a clinical case of a female neonate to emphasize the correlation between purpura fulminans, congenital chylothorax, involvement of the PAK2 gene, and the occurrence of retinal detachment in both eyes. (frontiersin.org)
After draining the congenital chylothorax, the neonate developed purpura fulminans due to a loss of protein C, S, and antithrombin factors, previously not reported in the literature. (frontiersin.org)

Sixteen years of experience with persistent chylothorax in children. (medscape.com)
Subsequent to surgery for tetralogy of Fallot, patent ductus arteriosus, and branch pulmonic stenosis, she developed persistent chylothorax and sepsis. (nih.gov)
15. Laparoscopic thoracic duct clipping for persistent chylothorax after extrapleural pneumonectomy. (nih.gov)

Chylothorax after surgery on congenital heart disease in newborns and infants -risk factors and efficacy of MCT-diet. (medscape.com)
Central venous lines are a risk factor for chylothorax in infants after cardiac surgery. (medscape.com)
Chylothorax in infants can be congenital or acquired through trauma or surgical injury. (llli.org)
While severity of chylothorax differs, affected infants usually have tubes placed to drain the chyle and to prevent respiratory failure due to pressure of the chyle on the lungs. (llli.org)
LCTs in human milk are an excellent source of nutrients and have many beneficial qualities, but as they increase chyle production, LCTs are not suitable for infants with chylothorax. (llli.org)
Minocycline pleurodesis was performed on five infants with congenital chylothorax in our institutions. (thieme-connect.de)

This is the first case report of a hepatic chylothorax with features of entrapped lung. (usuhs.edu)
19. [The treatment of chylothorax following pulmonary resection in lung cancer]. (nih.gov)

Chylothorax in the absence of tumor or trauma is uncommon. (nih.gov)
Delayed Concurrent Chylothorax and Chyloperitoneum: Report of a Case after an Old Blunt Trauma', TANAFFOS (Respiration) , 10(1(winter)), pp. 52-56. (tanaffosjournal.ir)

Late presenting chylothorax responds more readily to conservative treatment as the leak volume is smaller and healing is more likely [3]. (who.int)
When there is a disruption to this transport system, this fluid can leak into the pleural cavity leading to chylothorax. (icts.com.sg)

The incidence of chylothorax ranges from 0.4-4% in esophageal procedures to 2.5-4.7% in congenital cardiac procedures. (medscape.com)

In this first case report, we describe a term newborn presenting with congenital chylothorax associated with PF, who showed symptoms on the first post-natal day, shortly after the drainage of the chylothorax. (frontiersin.org)
OCtreotide Infision Causes Resolution of High-Output Thoractomy Tube Drainage in Infant and Congenital Bilateral Chylothoraces. (childrens.com)

We present a case of a 69-year-old man who suddenly developed a rare chylothorax pulmonary adverse event following 10 months of dasatinib treatment. (aku.edu)
1. [Clipping of the thoracic duct with video-assisted thoracic surgery in the treatment of chylothorax after pulmonary resection]. (nih.gov)

Caverly L, Rausch CM, da Cruz E, Kaufman J. Octreotide treatment of chylothorax in pediatric patients following cardiothoracic surgery. (medscape.com)
Outcomes of Chylothorax Nonoperative Management After Cardiothoracic Surgery: A Systematic Review and Meta-Analysis. (bvsalud.org)
CENTRAL MESSAGE Nonoperative treatment for chylothorax after cardiothoracic procedures has significant hospital stay , morbidity , mortality , and reoperation rates. (bvsalud.org)

Other conditions like tuberous sclerosis, congenital heart disease, trisomy 21 (Down syndrome), Noonan syndrome, or Turner syndrome (missing X chromosome) are also possible causes of congenital chylothorax. (wikipedia.org)

showed in their literature review, most cases with early presenting chylothorax respond only to surgical procedures [1]. (who.int)
9. Surgical management of chylothorax. (nih.gov)

Nadolski G. Nontraumatic chylothorax: diagnostic algorithm and treatment options. (medscape.com)
Lymphangiomatosis should be considered a diagnostic possibility for any child who presents with a chylothorax. (nih.gov)

Pleural fluid analysis for triglyceride content helps to confirm the diagnosis of chylothorax. (medscape.com)

Iatrogenic chylothorax after surgery is the most common variety of chylothorax. (wikipedia.org)

The most common symptom of LAM is dyspnea upon exertion and can also include the clinical findings of spontaneous pneumothorax, chylothorax, and hemoptysis. (nih.gov)

2015). Such was the case with Bobby, who developed chylothorax due to an injury that occurred during open-heart surgery to correct a congenital defect when he was three months old. (llli.org)
The authors describe the case of a 12-year-old boy who presented with a symptomatic left chylothorax associated with lymphangiomatosis of the ribs, scapula, and clavicle. (nih.gov)
We describe a case of chylothorax that occurred a few days after coronary artery bypass grafting and which was treated only with low-fat diet. (who.int)
We report a case of a 53-year-old male patient presenting a chylothorax after 14 years of dasatinib therapy where the clinical laboratory was key in the diagnosis. (gencat.cat)
2 Gaede C. Congenital chylothorax: a case study. (thieme-connect.de)
2. [Thoracoscopic clipping of the thooracic duct for chylothorax following esophagectomy: report of a case]. (nih.gov)
Also, this case focuses on the possible underlying mechanisms of developing PF in congenital chylothorax, early recognition, management, and having a high index of suspicion for early detection. (frontiersin.org)
A case of chyloperitoneum traumaticum and a case of chylothorax. (nih.gov)

Octreotide for the treatment of chylothorax in neonates. (thieme-connect.de)
Purpura fulminans (PF) has not been reported in neonates with chylothorax. (frontiersin.org)

Other operations like mediastinal tumor resection, thoracic aneurysm repair, sympathectomy, and any other surgeries that take place in the lower neck or the mediastinum can lead to chylothorax. (wikipedia.org)

Chylothorax refers to the presence of lymphatic fluid in the pleural space secondary to leakage from the thoracic duct or one of its main tributaries. (medscape.com)

Congenital chylothorax in a late preterm infant and successful treatment with octreotide. (medscape.com)
Is octreotide treatment useful in patients with congenital chylothorax? (medscape.com)
In some cases, chylothorax is treated by somatostatin, and operative treatment remains an option for resistant chylothorax with no response to conservative medical treatment [1]. (who.int)
The definitive treatment of chylothorax involves identification and management of the underlying pathology. (aku.edu)
The patient had respiratory distress and undergone refractory treatment for chylothorax. (tanaffosjournal.ir)
7 Maayan-Metzger A, Sack J, Mazkereth R, Vardi A, Kuint J. Somatostatin treatment of congenital chylothorax may induce transient hypothyroidism in newborns. (thieme-connect.de)
Somatostatin or octreotide as treatment options for chylothorax in young children: a systematic review. (thieme-connect.de)
10. Treatment of chylothorax by robotic thoracic duct ligation. (nih.gov)
17. Use of video-assisted thoracic surgery in the treatment of chylothorax. (nih.gov)
New treatment is advised as cancer cells were found in chylothorax pleural fluid after multiple Thoracentisis. (cancer.org)

Malignant etiologies account for more than 50% of chylothorax diagnoses and are separated into lymphomatous and nonlymphomatous causes. (medscape.com)

6 Wasmuth-Pietzuch A, Hansmann M, Bartmann P, Heep A. Congenital chylothorax: lymphopenia and high risk of neonatal infections. (thieme-connect.de)

Biochemical analysis of the milky pleural fluid confirmed the suspicion of chylothorax, with elevated levels of triglycerides and lymphocytes. (org.al)

Anatomy3

Diseases5

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment4

Idiopathic9

Abstract1

Postoperative14

Pseudochylothorax3

Cases of chylothorax4

Medium-chain triglyc2

Chest11

Management of chylothorax after esophagectomy1

Complication8

Therapeutic2

Chylous ascites4

Appropriateness Criteria1

Etiology6

Dasatinib-Induced Chylothorax1

Accumulation4

Causes of chylothorax1

Patients with chylothorax2

Effusion8

Cause chylothorax1

Traumatic chylothorax5

Postsurgical chylothorax2

Thoracic aortic a1

Injury of the thoracic duct1

Neonate2

Persistent3

Infants6

Lung2

Trauma2

Leak2

Incidence1

Drainage2

Pulmonary2

Cardiothoracic3

Congenital heart d1

Surgical2

Diagnostic2

Triglyceride1

Iatrogenic1

Pneumothorax1

Case8

Neonates2

Resection1

Fluid in the pleural1

Treatment10

Diagnoses1

Lymphopenia1

Triglycerides1