4,218 results match your criteria Chylothorax


[Modern Treatment Options for Postoperative Chylothorax: a Systematic Review].

Pneumologie 2021 Jun 11;75(6):439-446. Epub 2021 Jun 11.

Klinik für Thoraxchirurgie, Regiomed Kliniken GmbH, Sonneberg/Coburg.

Background:  Chylothorax is a multifactorial complication, usually caused by surgery or traumatic injury, and more rarely by malignant disease. Because of the lack of prospective, randomised trials, the evidence-based treatment rests upon personal experience, but ideally taking into account retrospective analysis.

Material And Methods:  The aim of this review is to provide a comprehensive overview of the currently available modern treatment options. Read More

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Respiratory Failure in Noonan Syndrome Treated by Microsurgical Thoracic Duct-Venous Anastomosis.

Ann Thorac Surg 2021 Jun 8. Epub 2021 Jun 8.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania. Electronic address:

Noonan Syndrome is a disorder characterized by central and peripheral lymphatic conducting anomalies, leading to chylothorax, chylous ascites, and metabolic derangement. Novel imaging modalities including dynamic contrast magnetic resonance lymphangiography (DCMRL) and intranodal lymphangiography have allowed for increased visualization of lymphatic pathology. We describe the first study of a 61-year-old male with Noonan syndrome who developed severe pulmonary insufficiency and chylothoraces. Read More

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Thoracoscopic radical esophagectomy combined with left inferior pulmonary ligament lymphadenectomy for esophageal carcinoma via the right thoracic approach: A single-center retrospective study of 30 cases.

Medicine (Baltimore) 2021 Jun;100(23):e26302

Department of Cardiothoracic Surgery, The Affiliated Hospital of Putian University, Putian, Fujian.

Abstract: To evaluate the necessity, safety, and feasibility of left inferior pulmonary ligament lymphadenectomy during video-assisted thoracic surgery (VATS) radical esophagectomy via the right thoracic approach.Thirty patients (20 men, 10 women) with thoracic esophageal squamous cell carcinoma (ESCC) were recruited for this study. The patients' age ranged from 50 to 80 years, with an average age of 66. Read More

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Intranodal Lymphangiography With High-Dose Ethiodized Oil Shows Efficient Results in Patients With Refractory, High-Output Postsurgical Chylothorax: A Retrospective Study.

AJR Am J Roentgenol 2021 Jun 9:1-6. Epub 2021 Jun 9.

Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.

The purpose of this study is to evaluate the safety and efficacy of intranodal lymphangiography (INL) with high-dose ethiodized oil in patients with postoperative refractory chylothorax. A retrospective review of a cohort of 18 patients with refractory postoperative chylothorax seen between May 2015 and March 2019 was conducted. All patients underwent intranodal lymphangiography with high doses of ethiodized oil (mean, 75 mL; range, 40-140 mL). Read More

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Post-oesophagectomy chylothorax: An unusual cause of postoperative stridor.

Indian J Anaesth 2021 Apr 15;65(4):345-347. Epub 2021 Apr 15.

Department of Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

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Chylothorax after coronary artery bypass grafting: Is it always early?

J Card Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Cardiac Surgery, Sir Ganga Ram Hospital, , Old Rajinder Nagar, New Delhi, India.

Background: Chylothorax is a rare complication of cardiothoracic surgical interventions and usually presents early in the postoperative period.

Materials And Methods: We present a case of 63 years female who presented with chylothorax 5 months after undergoing coronary artery bypass surgery.

Discussion And Conclusion: Chylothorax should be considered in patients with recurrent pleural effusions even if the effusions do not have the typical milky appearance. Read More

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Nutritional Outcomes of Thoracic Duct Resection for Radical Esophagectomy by Assessing Body Composition Changes in One Year: A Single-Center Retrospective Study.

Ann Surg Oncol 2021 Jun 3. Epub 2021 Jun 3.

Department of Gastroenterological Surgery, Toranomon Hospital, Okinaka Memorial Institute for Medical Research, Tokyo, Japan.

Background: Thoracic duct (TD) resection is performed when the tumor or a metastatic lymph node directly invades the TD, and is sometimes indicated for radical lymphadenectomy during esophagectomy in esophageal cancer patients. However, the effect of TD resection on nutritional status has not been established.

Patients And Methods: In total, 174 consecutive patients from October 2015 to March 2019 who underwent radical esophagectomy for esophageal cancer in Toranomon Hospital were classified into thoracic duct preserved group (n = 51) and TD-resected (TD-R) group (n = 123). Read More

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Abnormal Pulmonary Lymphatic Flow on Novel Lymphangiographic Imaging Supports a Common Etiology of Lymphatic Plastic Bronchitis and Nontraumatic Chylothorax.

Lymphat Res Biol 2021 Jun 2. Epub 2021 Jun 2.

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.

This study evaluates whether dynamic contrast-enhanced magnetic resonance lymphangiography (DCMRL) and thoracic duct lymphangiography (TDL) findings in adults with lymphatic plastic bronchitis (PB) and/or nontraumatic chylothorax (NTC) support a shared pathophysiology. Retrospective review of clinical and imaging findings in patients who underwent DCMRL and TDL at a single institution from March 2017 to March 2019. Categorical variables were compared with Fisher's exact test. Read More

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Sneeze-induced chylothorax.

Arch Bronconeumol 2021 May 27. Epub 2021 May 27.

Unidad de Medicina Pleural, Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Lleida, Spain. Electronic address:

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Anatomical study of the thoracic duct and its clinical implications in thoracic and pediatric surgery, a 70 cases cadaveric study.

Surg Radiol Anat 2021 May 29. Epub 2021 May 29.

LADAF, Anatomical Laboratory, Univ. Grenoble Alpes, Grenoble University Hospital, 38000, Grenoble, France.

Introduction: Given the high variability and fragility of the thoracic duct, good knowledge of its anatomy is essential for its repair or to prevent iatrogenic postoperative chylothorax. The objective of this study was to define a site where the thoracic duct is consistently found for its ligation. The second objective was to define an anatomically safe surgical pathway to prevent iatrogenic chylothorax in surgery for aortic arch anomalies with vascular ring, through better knowledge of the anatomical relationships of the thoracic duct. Read More

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Treatment of Chylothorax complicating pulmonary resection with hypertonic glucose Pleurodesis.

J Cardiothorac Surg 2021 May 28;16(1):149. Epub 2021 May 28.

Department of Thoracic Surgery, First Hospital of Jilin University, Xinmin street 71, Chang Chun, 130021, People's Republic of China.

Background: To retrospectively assess the efficacy of hypertonic glucose pleurodesis for treatment of chylothorax after pulmonary resection.

Methods: Out of a total of 8252 patients who underwent pulmonary resection (at least lobectomy) at department of thoracic surgery, between June 2008 and December 2015, 58 patients (0.7%) developed postoperative chylothorax. Read More

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Detection of Chyle Leakage Site With Lymphoscintigraphy SPECT/CT in a Patient With Chylothorax Secondary to T-Cell Lymphoblastic Leukemia.

Clin Nucl Med 2021 May 26. Epub 2021 May 26.

From the Department of Nuclear Medicine, Marmara University Istanbul Pendik Training and Research Hospital, Istanbul, Turkey.

Abstract: We present a pediatric case with T-cell lymphoblastic leukemia and persistent chylothorax who was referred to lymphoscintigraphy to identify the site of leakage. Planar lymphoscintigraphy with SPECT/CT revealed hot spots at the left jugulovenous angle and the confluens of the vena brachiocephalica to vena cava, which were compatible with the sites of leakage. Hybrid imaging with SPECT/CT technique have great impact on accurate detection of the defects in the lymphatic system in patients with chylothorax. Read More

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[Diffuse pulmonary lymphangiomatosis with pleural and pericardial involvement. Pediatric case report].

Arch Argent Pediatr 2021 06;119(3):e264-e268

Servicio de Pediatría, Sanatorio de la Trinidad Palermo.

Diffuse pulmonary lymphangiomatosis is a rare disease characterized by marked proliferation and dilation of lymphatic vessels in the lungs, pleura, and mediastinum. The prevalence is unknown and the etiology is not fully understood. A 22-month-old girl was admitted for polyserositis, with pericardial and pleural effusion. Read More

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Chylothorax as a complication of congenital myotonic dystrophy: A retrospective cohort study.

Early Hum Dev 2021 May 16;158:105396. Epub 2021 May 16.

Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital, Kagoshima, Japan.

Background: The association between congenital myotonic dystrophy (CMD) and chylothorax is poorly recognized.

Aims: To evaluate the proportion of chylothorax in infants with CMD compared to its prevalence in infants without CMD.

Study Design: Single-center, retrospective, cohort study. Read More

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Midodrine, an Oral Alpha-1 Adrenoreceptor Agonist, Successfully Treated Refractory Congenital Chylous Pleural Effusion and Ascites in a Neonate.

Chest 2021 Apr 6;159(4):e189-e191. Epub 2021 Apr 6.

Department of Pediatrics, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.

A trisomy 21 neonate presented with congenital chylous pleural effusion and ascites that was refractory to conventional pharmacotherapy. Midodrine, an oral alpha-1-adrenoreceptor agonist, achieved remission of chylous effusion without any adverse effects. To the best of our knowledge, this is the first neonatal case of successful management of congenital chylous pleural effusion and ascites with midodrine. Read More

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Traumatic chylothorax: a dilemma to surgeons and interventionists.

BMJ Case Rep 2021 May 21;14(5). Epub 2021 May 21.

Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, Delhi, India

Chylothorax is generally seen due to iatrogenic injury to the thoracic duct during thoracic or neck surgery. It can also be encountered secondary to chest trauma either blunt or penetrating. Percutaneous thoracic duct embolisation is an alternative to surgical treatment and is considered an effective and safe minimally invasive treatment option for chylothorax with a success rate of about 80%. Read More

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Thoracic Empyema Secondary to Congenital Chylothorax in a 14-Month-Old Boy with Noonan Syndrome.

Case Rep Pediatr 2021 29;2021:6620353. Epub 2021 Apr 29.

Department of Pediatrics, Tohoku University Hospital, 1-1,Seiryo-Cho,Aoba-Ku, Sendai 980-8574, Japan.

Thoracic empyema usually occurs as a complication of bacterial pneumonia, but in rare cases, it is caused by hematogenous dissemination secondary to nonpulmonary diseases. Congenital chylothorax or chylothorax in children is associated with maldevelopment of the lymphatic system, nonimmune hydrops fetalis, several syndromes including Down syndrome, Noonan syndrome, or Turner syndrome, a complication of thoracic surgery, right heart failure with high central venous pressure, or tumors. There are very few reports of empyema associated with preexisting chylothorax. Read More

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Gastropleural Fistula in a Child with Acute Lymphoblastic Leukemia Due to Perforated Gastric Ulcer.

Indian J Pediatr 2021 May 19. Epub 2021 May 19.

Department of Pediatrics, Military Hospital Dehradun, Dehradun, Uttarakhand, India.

Gastropleural fistula (GPF) is a pathological communication between stomach and pleural cavity. GPF is described rarely in adults following bariatric surgery, iatrogenic perforations, complicated empyema thoracis, penetrating chest trauma, perforated malignant gastric ulcers, and invasive tumors. GPF in children is extremely rare. Read More

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SARS-CoV-2 associated with death in an infant with congenital chylothorax.

J Paediatr Child Health 2021 May 18. Epub 2021 May 18.

Department of Pediatrics, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.

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How efficacious are Octreotide and Somatostatin in the management of chylothorax in congenital cardiac surgical patients?

Interact Cardiovasc Thorac Surg 2021 May 17. Epub 2021 May 17.

Department of Cardiothoracic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was how efficacious are Octreotide and Somatostatin in the management of chylothorax in congenital cardiac surgical patients. Altogether >55 papers were found using the reported search, of which 8 represented the best evidence to answer the clinical question. Read More

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Evaluation of treatment options for postoperative and spontaneous chylothorax in adults.

Interact Cardiovasc Thorac Surg 2021 May 17. Epub 2021 May 17.

Department of Thoracic Surgery, University Medical Center Regensburg, Regensburg, Germany.

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Objectives: Both postoperative and spontaneous chylothorax remain therapeutic challenges without recommendations for a standardized treatment approach. Regardless of its aetiology, patients with chylothorax experience prolonged hospitalization and suffer from the associated complications or the invasive therapy administered.

Methods: We conducted a retrospective, observational review of adult patients with chylothorax treated between January 2010 and September 2019. Read More

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Chylous cyst-venous shunt for the management of central conducting lymphatic anomaly.

J Vasc Surg Cases Innov Tech 2021 Jun 26;7(2):235-238. Epub 2021 Feb 26.

Angiopediatria Foundation, Buenos Aires, Argentina.

We present the case of a 45-year-old man who had presented with ubiquitous chylous reflux that manifested as a bilateral inguinal chylous cutaneous fistula and a voluminous right cervical chylous cyst. He had difficulty breathing owing to compression of the airway. Anastomosis of the chylous cyst wall with the external jugular vein was performed using a valvular vein segment to prevent blood reflux. Read More

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Dasatinib-induced chylothorax in a patient with chronic myeloid leukaemia: a case report and literature review.

Respirol Case Rep 2021 Jun 7;9(6):e00753. Epub 2021 May 7.

Department of Internal Medicine Kaohsiung Medical University Hospital, Kaohsiung Medical University Kaohsiung Taiwan.

Dasatinib is a potent and effective second-generation oral tyrosine kinase inhibitor that is clinically indicated for the treatment of imatinib-resistant or imatinib-intolerant breakpoint cluster region-Abelson (BCR-ABL)-positive chronic myeloid leukaemia (CML) or for Philadelphia chromosome-positive acute lymphocytic leukaemia. The most common adverse events associated with dasatinib therapy are skin rash, gastrointestinal upset, pancytopenia, pulmonary hypertension, and fluid retention, including pleural effusion. However, chylothorax secondary to dasatinib administration has rarely been reported. Read More

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Chylothorax after esophagectomy treated with inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization.

Clin J Gastroenterol 2021 May 11. Epub 2021 May 11.

Department of Surgical Oncology, Gifu university, graduate school of Medicine, 1-1 Yanagido, Gifu city, 501-1194, Japan.

Chylothorax after esophagectomy is a serious complication that is associated with major morbidity due to dehydration and malnutrition. Reoperation with ligation of the thoracic duct is considered for patients with high-output chyle leaks that have failed conservative management. In this report, we present the treatment options for chylothorax after esophagectomy: inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization. Read More

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Bilateral secondary pulmonary tuberculosis complicated with bilateral chylothorax: a case report.

Ann Palliat Med 2021 Apr;10(4):4970-4974

Department of Thoracic and Cardiovascular Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.

A 26-year-old female was admitted to the emergency department of thoracic surgery complaining of chest tightness, shortness of breath, and a history of bilateral tuberculosis. A chest Computed Tomography (CT) scan showed bilateral pleural effusion. After that, the patient was implanted with bilateral intercostal drainage tubes. Read More

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Chylothorax as a complication of Waldenström macroglobulinaemia with a patient's perspective.

BMJ Case Rep 2021 May 7;14(5). Epub 2021 May 7.

Internal Medicine, Lankenau Medical Center, Wynnewood, Pennsylvania, USA.

Chylothorax has rarely been reported as a pleuropulmonary complication of Waldenström macroglobulinaemia (WM). In general, when a unilateral effusion is discovered particularly in patients with a history of cancer or active malignancy, a broad differential including chylothorax needs to be considered. We present the case of a 50-year-old woman found to have chylothorax secondary to progression of WM as confirmed by cytology and presence of MYD88 L265P mutation in the pleural fluid specimen and subsequent resolution with chemotherapy. Read More

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Side-to-side esophagogastric anastomosis for minimally invasive Ivor-Lewis esophagectomy: operative technique and short-term outcomes.

Updates Surg 2021 Apr 26. Epub 2021 Apr 26.

Department of Digestive Surgery, European Institute of Oncology (IRCCS), 20141, Milan, Italy.

Totally minimally invasive Ivor-Lewis esophagectomy (TMIIL) is associated to lower rate of post-operative complication, decreases length of hospital stay and improves quality of life compared to open approach. Nevertheless, adaptation of TMIIL still proceeds at slow pace, mainly due to the difficulty to perform the intra-thoracic anastomosis and heterogeneity of surgical techniques. We present our experience with TMIIL utilizing a stapled side-to-side anastomosis. Read More

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Bilateral Chylothorax and Chylous Ascites: A Rare Presentation of an Uncommon Disorder.

Cureus 2021 Mar 22;13(3):e14044. Epub 2021 Mar 22.

Nephrology, University of California Los Angeles, Los Angeles, USA.

We describe the case of a 62-year-old female who presented with gradually progressing abdominal distension and dyspnea. Computed tomography (CT) chest and abdomen revealed large bilateral pleural effusions with large ascites, a mid-abdominal mass, and peritoneal carcinomatosis. Pleural and peritoneal tap revealed chylous fluid, and the biopsy findings from abdominal mass were consistent with follicular lymphoma. Read More

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New application of direct lymphangiography in the diagnosis and treatment of chylothorax after lung cancer surgery: a case series.

Ann Palliat Med 2021 Apr 16;10(4):4768-4776. Epub 2021 Apr 16.

Department of Lymphatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.

Background: Chylothorax is caused by accumulation of chylous fluid in the thoracic cavity following injury to the thoracic duct or its tributaries. It is a rare but relatively severe complication of lung cancer surgery, especially after lung resection and mediastinal lymph node dissection. If chylothorax is not treated promptly and effectively, it may result in relatively high mortality rate. Read More

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The increase of the pulmonary blood flow in hypoxic, high-risk patients with bidirectional Glenn anastomosis.

Kardiol Pol 2021 Apr 13. Epub 2021 Apr 13.

Background: An additional shunt in single ventricle patients with Glenn anastomosis may increase pulmonary flow at the expense of ventricle volume overloading. The performance of the modification depends on pulmonary resistance, indicating better results in favorable hemodynamic conditions.

Aim: Analyze the influence of precisely adjusted, pulsatile shunt in borderline, high-risk Glenn patients on the early and late results. Read More

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