Chyle: An opaque, milky-white fluid consisting mainly of emulsified fats that passes through the lacteals of the small intestines into the lymphatic system.Chylothorax: The presence of chyle in the thoracic cavity. (Dorland, 27th ed)Chylous Ascites: Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.Thoracic Duct: The largest lymphatic vessel that passes through the chest and drains into the SUBCLAVIAN VEIN.Lymphangiectasis: A transient dilatation of the lymphatic vessels.Pericardial Effusion: Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.Chylomicrons: A class of lipoproteins that carry dietary CHOLESTEROL and TRIGLYCERIDES from the SMALL INTESTINE to the tissues. Their density (0.93-1.006 g/ml) is the same as that of VERY-LOW-DENSITY LIPOPROTEINS.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Fistula: Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.Lymphatic Vessels: Tubular vessels that are involved in the transport of LYMPH and LYMPHOCYTES.Arteriovenous Fistula: An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.Intestinal Fistula: An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).Physical Examination: Systematic and thorough inspection of the patient for physical signs of disease or abnormality.Limulus Test: Sensitive method for detection of bacterial endotoxins and endotoxin-like substances that depends on the in vitro gelation of Limulus amebocyte lysate (LAL), prepared from the circulating blood (amebocytes) of the horseshoe crab, by the endotoxin or related compound. Used for detection of endotoxin in body fluids and parenteral pharmaceuticals.Esophageal and Gastric Varices: Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL).Dictionaries, MedicalDictionaries as Topic: Lists of words, usually in alphabetical order, giving information about form, pronunciation, etymology, grammar, and meaning.Valerian: A plant genus of the family VALERIANACEAE, order Dipsacales, subclass Asteridae, class Magnoliopsida. It is best known for the sedative use and valepotriate content of the roots. It is sometimes called Garden Heliotrope but is unrelated to true Heliotrope (HELIOTROPIUM).Cellular Phone: Analog or digital communications device in which the user has a wireless connection from a telephone to a nearby transmitter. It is termed cellular because the service area is divided into multiple "cells." As the user moves from one cell area to another, the call is transferred to the local transmitter.

Chylothorax after high translumbar aortography. (1/50)

Two patients who had high translumbar aortograms for suspected arterial disease developed shortness of breath 48 hours after aortography and were found to have chylothoraces. Conservative management was initially adopted for both, but surgery had to be resorted to, although the first patient died before arriving in the operating theatre. The literature and the management of this condition are reviewed.  (+info)

Isolated chylopericardium due to mediastinal lymphangiomatous hamartoma;. (2/50)

Isolated chylopericardium is a rare cause of pericardial effusion. Intrapericardial chyle was first noticed by Hasebroek (1888) at necropsy. Twenty years ago Groves and Effler (1954) first reported a clinical case of isolated chylopericardium. The present case is similar to theirs in several respects, and is the nineteenth case to be reported. To our knowledge this is the first British report of an isolated chylopericardium and is the fourth case of isolated chylopericardium due to a mediastinal lymphangiomatous hamartoma to be successfully treated.  (+info)

Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation. (3/50)

Chylous ascites may follow operative injury to retroperitoneal lymphatics. When possible, early reoperation has been advised. This report describes a patient with chylous ascites following emergency abdominal aortic aneurysmectomy. Because the patient was not a candidate for reoperation, total parenteral hyperalimentation was employed in management. This approach resulted in a successful outcome.  (+info)

Multiple chylous cysts of abdomen causing intestinal obstruction. (4/50)

A case of multiple chylous cysts of the abdomen in a 35 years old female is presented here. The patient presented with signs and symptoms of acute intestinal obstruction. Exploratory laparotomy revealed few intestinal adhesions along with multiple small cysts containing blood stained gelatinous material in the abdominal cavity, some of which were excised alongwith lymph nodes. The abdomen was closed after a saline peritoneal lavage. Chylous nature of the cysts was confirmed on histopathology. The post-operative course was asymptomatic.  (+info)

Retroperitoneoscopic renal pedicle lymphatic disconnection for chyluria. (5/50)

OBJECTIVE: To report our experiences in retroperitoneoscopic renal pedicle lymphatic stripping for chyluria. METHODS: Six cases of filarial chyluria were admitted to our hospital from November 2001 to June 2002. Of these cases, 4 were men and 2 women, with age ranging from 34 to 52 years (mean, 42 years). Diagnosis was made by using urine test for the presence of chyle and fat globule, cystoscopy, excretory urogram and retrograde pyelography. Chyluria was found on the left renal unit in 2 cases and on the right side in 4 cases. The technique of retroperitoneoscopic management of chyluria consisted of nephrolympholysis, hilar vessel stripping and ureterolympholysis. RESULTS: Operative time ranged from 69 to 120 minutes (mean, 95 minutes). Intraoperative blood loss was 50-180 ml (mean, 85 ml). Chyluria disappeared in all patients immediately after operation. Mild hematuria occurred in 4 cases within 12 hours and disappeared at 24 hours. Subcutaneous emphysema around the lesions was found in 2 cases and was spontaneously absorbed 3 days after the treatment. There was no lymphatic leak at the lesions. The patients were discharged from the hospital 5-9 days after the treatment. All patients gained weight and their haemoglobin and serum protein increased by 13.5 g/L and 3.66 g/L respectively. No chyluria recurrence was reported during 1-1.6 years follow-up. CONCLUSIONS: Retroperitoneoscopic renal pedicle lymphatic disconnection for chyluria is a safe, effective and efficient surgical procedure with minimal invasion, less pain, lower morbidity, short hospital stay and rapid recovery.  (+info)

Life threatening chylous pleural and pericardial effusion in a patient with Behcet's syndrome. (6/50)

Chylothorax and chylopericardium secondary to thrombosis of the superior vena cava and the innominate and subclavian veins were diagnosed in a patient with Behcet's syndrome. Immunosuppressive treatment, diet, and underwater seal drainage led to a diminished volume of pleural fluid and pericardial fluid and to a diminished concentration of triglyceride in them; pleurodesis with tetracycline was then performed.  (+info)

Persistent chyle leak following radical neck dissection: a solution that can be the solution. (7/50)

A case report of a chyle leak following radical neck dissection for residual lymph nodal disease performed after chemoradiation for nasopharyngeal carcinoma. This is the first case report of the use of cyanoacrylate for a persistent chyle leak following radical neck dissection.  (+info)

Successful treatment of chyluria, glomerular and tubular abnormalities in a young lady with silver nitrate instillation. (8/50)

A 21- year-old lady presented with chyluria, severe malnutrition, secondary amenorrhea, profound hypoalbuminemia, heavy proteinuria and renal tubular abnormalities suggestive of Type IV renal tubular acidosis. No particular cause for chyluria could be ascertained. She was successfully treated with an injection of 2% silver nitrate into the left ureter and urinary bladder. She continues to be well after 15 years of follow-up.  (+info)

  • When accumulation of chyle causes a patient significant problems, such as shortness of breath and lung collapse, drainage through a thoracostomy tube or paracentesis may be necessary despite the obvious adverse effects that this form of therapy may produce. (
  • Because of the relative rarity of chyle fistulas, no definitive data are available to unequivocally direct the duration of therapy. (
  • From the lacteals, the chyle is transported to the cisterna chyli, which overlies the anterior surface of the second lumbar vertebra. (
  • 4. The great trunks of the lacteals emerging from the mesenteric glands, and pouring their contents into (5) the receptacle of the chyle. (
  • After visualization of the stomach and intestine, abnormal accumulation of the radiotracer was found initially around the right pulmonary hilum and then spread laterally in the upper pleural cavity, indicating chyle leakage in the region of the right pulmonary hilum. (
  • Binding of prothrombin to chyle chylomicrons: effects of temperatuure and calcium ions, and role of surface phospholipids. (
  • The ability of chyle chylomicrons to bind prothrombin has been studied. (
  • Rat chyle chylomicrons were incubated with human 125I-prothrombin and binding was examined by separating the chylomicrons from free 125-I-prothrombin by density-gradient ultracentrifugation, and by gel filtration on Sepharose CL-2B. (
  • A significant binding of prothrombin to chyle chylomicrons occurred. (
  • Bound prothrombin could not be removed from chyle chylomicrons by treatment with EDTA, suggesting that this binding is not a simple Ca2+ dependent association between prothrombin and chyle chylomicrons. (
  • It is suggested that the binding of prothrombin to chyle chylomicrons is in part mediated by negatively charged phospholipids of the chylomicron surface, although a specific role of the PE could not be demonstrated. (
  • Chyle is principally derived from the lymphatic drainage of the gastrointestinal tract and contains a high concentration of triglycerides in the form of chylomicrons which give it a milky appearance. (
  • Conservative management appears to be most effective in chyle leakage associated with head and neck surgery, and least effective when chyle leakage is associated with malignancy. (
  • For all 177 patients, lymphography showed localized lymphatic diseases in 148 cases (83.6%), including 125 cases of lymphatic renal pelvic leaks, 14 cases of unilateral identified leak within thorax and 9 cases of chyle leakage in neck, heart, abdomen or scrotum. (
  • The dietitians' questionnaire examined knowledge and experience of chyle leakage, types of patients treated, dietary therapies employed, responsibilities for prescriptions and outcomes. (
  • Conclusions: A step-up treatment strategy, starting with dietary modifications, solved nearly 90% of chyle leaks conservatively. (
  • The chyle leak resolved gradually with dietary manipulation. (
  • When accumulation of chyle causes a patient significant problems, such as shortness of breath and lung collapse, drainage through a thoracostomy tube or paracentesis may be necessary despite the obvious adverse effects that this form of therapy may produce. (
  • Il s'agit d'un panchement de chyle dans la pl vre la suite de la rupture du canal thoracique ( accumulation de liquide), appel chyle, autour d'un ou des 2 poumons. (
  • Contraindications to surgical correction of chyle fistulas are based on the patient's comorbidities and his or her ability to tolerate surgery. (
  • The initial signs included anorexia, colic, kicking at belly, paddling of limbs in recumbency, frequent getting up and lying down which subsided after 2 days which might be attributed to stimulation of autonomic nervous system distended cranial loops of obstruction with chyle and fluids (Papadopoulos et al. (
  • It is made up of white blood cells which target bacteria, and chyle which is a fluid containing fats and proteins. (
  • The clinic data of 177 patients suffered from chyle leakage admitted in 6 medical centers in Shanghai from February 1998 to December 2014 was analyzed retrospectively. (
  • Conservative treatment consists of fat restricted diet or total parenteral nutrition reducing the volume of chyle production. (
  • En bloc removal of the whole thymus, perithymic fatty tissue, both epiphrenic fat pads, and the sheets of right and left anterior mediastinal pleura is important for a radical resection of the tumor. (