4,427 results match your criteria Chylothorax


Multi-Disciplinary Management of Chylothorax.

Chest 2022 Jun 20. Epub 2022 Jun 20.

Interventional Pulmonology, Department of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.

Chylothorax, the accumulation of chyle in the pleural space, is usually caused by the disruption of the thoracic duct or its tributaries. Etiologies are broadly divided into traumatic, including post-surgical, and non-traumatic, most commonly in the setting of malignancy. The management of chylothorax largely depends upon the etiology, and includes dietary modification and drainage of the pleural space. Read More

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Management of Congenital Chylothorax of the Newborn.

Authors:
Bernhard Resch

Respiration 2022 Jun 20:1-2. Epub 2022 Jun 20.

Research Unit for Neonatal Infectious Diseases and Epidemiology, Medical University of Graz, Graz, Austria.

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Therapy for feline secondary hypertriglyceridemia with fenofibrate.

J Feline Med Surg 2022 Jun 17:1098612X221104066. Epub 2022 Jun 17.

National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.

Objectives: The aim of this study was to assess the short-term safety and efficacy of fenofibrate in controlling secondary hypertriglyceridemia in cats.

Methods: This was a prospective cohort study. Seventeen adult cats with hypertriglyceridemia (serum triglycerides [TG] >160 mg/dl) were enrolled. Read More

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Thoracic ductal variations and treatment of chylothorax after thoracic surgery.

Minerva Surg 2022 Jun 16. Epub 2022 Jun 16.

Department of Thoracic Surgery, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China -

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Successful thoracoscopic resection of a giant mediastinal cyst in a newborn boy.

J Minim Access Surg 2022 Jul-Sep;18(3):472-474

Department of Neonatal Surgery, Xi'an Children Hospital, Xi'an City, Shaanxi Province, China.

There are fewer reports of thoracoscopic surgical resection of mediastinal cysts in neonates. The aim of this article is to report on the feasibility of thoracoscopic resection of a large mediastinal cyst and the management of chylothorax after surgery in neonates. Read More

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Refractory congenital chylous ascites: First report of fibrin glue and mesh application by laparoscopy.

J Minim Access Surg 2022 Jul-Sep;18(3):469-471

Department of Pediatrics, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur, Rajasthan, India.

Chylous ascites (CA) is a form of ascites having leakage of lipid-rich lymph into the peritoneal cavity, due to damage or obstruction in the lymphatic system. Aetiology of CA could be congenital or acquired. Primary lymphatic hypoplasia is seen commonly in children and presents with lymphoedema, chylothorax or CA. Read More

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Does high body mass index influence the postoperative complications and long-term survival in patients with esophageal squamous cell carcinoma after minimally invasive esophagectomy?

Wideochir Inne Tech Maloinwazyjne 2022 Jun 16;17(2):317-325. Epub 2022 Mar 16.

Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing, China.

Introduction: The prognostic value of high body mass index (BMI) in patients with esophageal squamous cell carcinoma (ESCC) is still controversial.

Aim: To evaluate the impact of high BMI on postoperative complications and survival after minimally invasion esophagectomy (MIE) for ESCC patients.

Material And Methods: Three hundred and fourteen consecutive ESCC patients were used to analyze the potential association between high BMI and postoperative complications and survival. Read More

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Cardiac Amyloidosis: A Rare Cause of Recurrent Chylothorax.

Cureus 2022 May 9;14(5):e24861. Epub 2022 May 9.

Department of Hematology and Oncology, Cleveland Clinic, Cleveland, USA.

Amyloidosis is caused by the extracellular deposition of fibrils composed of low molecular weight protein subunits. Its two main types are amyloid light chain (AL) amyloidosis and amyloid A (AA) amyloidosis (previously referred to as secondary amyloidosis). Clinical manifestations are dependent upon location, type, and amount of deposit. Read More

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Prospective evaluation of lymphatic embolization as part of the treatment in dogs with presumptive idiopathic chylothorax.

Vet Surg 2022 Jun 12. Epub 2022 Jun 12.

Mayo Clinic Cancer Center, Jacksonville, Florida, USA.

Objective: To describe the embolization technique and short-term clinical outcome in dogs undergoing lymphatic embolization (LE) as part of treatment for presumptive idiopathic chylothorax (IC). Additionally, to document findings in computed tomography lymphangiography (CTLa) following embolization.

Study Design: Prospective case series ANIMALS: Eight client-owned dogs. Read More

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Prophylactic thoracic duct obliteration and resection during esophagectomy: What is the impact on perioperative risks and long-term survival? A systematic review and meta-analysis.

J Surg Oncol 2022 Jul;126(1):90-98

Department of Evidence-based Medicine, Centro Universitário Lusíada, Santos, SP, Brazil.

There is no agreement whether prophylactic thoracic duct ligation (TDL), with or without resection, during esophagectomy for patients with cancer is beneficial. The effects of these procedures on postoperative complications and overall survival remain unclear. This systematic review included 16 articles. Read More

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Transhiatal versus transthoracic esophagectomy for esophageal SCC: outcomes and complications.

J Cardiothorac Surg 2022 Jun 9;17(1):150. Epub 2022 Jun 9.

Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Transhiatal esophagectomy (THE) and transthoracic esophagectomy (TTE) are both accepted procedures for esophageal cancer but still the most effective surgical approach continues to be controversial. This study aimed to determine post-operative complications and outcomes of TTE compared with THE.

Methods: A retrospective analysis was performed on data of 243 adult patients with resectable esophageal cancer who underwent THE or TTE between December 2016 and October 2018. Read More

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Acute benign pleural effusion, a rare presentation of hepatitis A virus: a case report and review of the literature.

J Med Case Rep 2022 Jun 9;16(1):231. Epub 2022 Jun 9.

Faculty of Medicine & Health Sciences, An-Najah National University, Nablus, Palestine.

Introduction: Hepatitis A virus infections are mostly asymptomatic or mildly symptomatic, and generally this disease has a benign course and resolves spontaneously. However, intrahepatic and rarer extrahepatic manifestations can complicate typical cases of acute hepatitis. Pleural effusion is an extremely rare extrahepatic entity with 20 cases reported in literature. Read More

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Triple-combination surgery with thoracic duct ligation, partial pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic chylothorax.

J Vet Med Sci 2022 Jun 8. Epub 2022 Jun 8.

Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University.

This study aimed to evaluate the outcomes and complications of triple-combination surgery consisting of thoracic duct ligation (TDL), partial pericardiectomy (PPC), and cisterna chyli ablation (CCA) for the treatment of idiopathic chylothorax in dogs. Eleven privately owned dogs with idiopathic chylothorax underwent the triple-combination surgery: TDL and PPC were performed in left recumbency, followed by CCA in dorsal recumbency. Of the 11 dogs, seven were Shiba, two were Afghan hounds, and one each was Borzoi and mixed-breed. Read More

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Chyloperitoneum and Chylothorax Following Bariatric Surgery: a Systematic Review.

Obes Surg 2022 Jun 8. Epub 2022 Jun 8.

Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.

Chyloperitoneum and chylothorax (ChP/ChT) are rare complications after bariatric surgery. This systematic review aims to evaluate the incidence, cause, treatment, and outcome of ChP and ChT after bariatric surgery. This review investigates published English language scientific literature systematically in an attempt to answer these questions. Read More

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Surgical Management of Pneumothorax and Pleural Space Disease.

Surg Clin North Am 2022 Jun;102(3):413-427

Division of Thoracic Surgery, Yale School of Medicine, Yale University School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Pleural space diseases constitute a wide range of benign and malignant conditions, including pneumothorax, pleural effusion and empyema, chylothorax, pleural-based tumors, and mesothelioma. The focus of this article is the surgical management of the 2 most common pleural disorders seen in modern thoracic surgery practice: spontaneous pneumothorax and empyema. Read More

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Corrigendum: Preliminary Exploration of Transpedal Lymphangiography With High-Dose Ethiodized Oil Application in the Treatment of Postoperative Chylothorax.

Front Med (Lausanne) 2022 19;9:929540. Epub 2022 May 19.

Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

[This corrects the article DOI: 10.3389/fmed.2021. Read More

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Small Bowel Obstruction After Neonatal Repair of Congenital Diaphragmatic Hernia-Incidence and Risk-Factors Identified in a Large Longitudinal Cohort-Study.

Front Pediatr 2022 17;10:846630. Epub 2022 May 17.

Department of Pediatric Surgery, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany.

Objective: In patients with a congenital diaphragmatic hernia (CDH), postoperative small bowel obstruction (SBO) is a life-threatening event. Literature reports an incidence of SBO of 20% and an association with patch repair and ECMO treatment. Adhesions develop due to peritoneal damage and underly various biochemical and cellular processes. Read More

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Lymphatic Interventions in the Cancer Patient.

Curr Oncol Rep 2022 May 31. Epub 2022 May 31.

Department of Radiology, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Purpose Of Review: The incidence of lymphatic leakage (iatrogenic and non-iatrogenic) is growing in cancer population due to the increased complexity of the surgical procedures and improved overall survival in cancer patients. The purpose of this article is to review the contemporary approach in the field of percutaneous lymphatic embolization in cancer patients with lymphatic leaks.

Recent Findings: Since the advent of intranodal lymphangiography in 2011 alongside with the MR and CT lymphangiography, the accuracy of diagnosis of the lymphatic diseases has significantly improved significantly. Read More

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Two-stage surgery for delayed esophageal perforation and concomitant chylothorax secondary to upper gastrointestinal endoscopy.

Ann Med Surg (Lond) 2022 May 12;77:103623. Epub 2022 Apr 12.

Dammam Medical Complex Kingdom of Saudi Arabia, Saudi Arabia.

A 46 years old male smoker was admitted to our hospital with a three-month history of chest discomfort and burning sensations due to regurgitation of food. The gastroenterologist tried multiple attempts to pass the endoscope through the lower end of the esophagus but failed. Post endoscopy Chest -X-ray showed right hemithorax fluid collection. Read More

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Sedation With Dexmedetomidine During Lymphangiography and Thoracic Duct Embolization in an Elderly Man.

Cureus 2022 Apr 25;14(4):e24466. Epub 2022 Apr 25.

Department of Diagnostic Radiology, National Cancer Center Hospital East, Chiba, JPN.

An 83-year-old man underwent cervical esophagectomy and developed a chylothorax as a postoperative complication. We decided to perform lymphangiography and thoracic duct embolization for chylous leakage, but it was expected to be challenging to maintain bed rest. Therefore, dexmedetomidine was administered for procedural sedation. Read More

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The usefulness of OK-432 for the treatment of postoperative chylothorax in a low-birth-weight infant with trisomy 18.

Clin Case Rep 2022 May 20;10(5):e05844. Epub 2022 May 20.

Department of Pediatric Surgery Niigata University Graduate School of Medical and Dental Sciences Niigata Japan.

Chylothorax is a rare but life-threatening condition in neonates. We herein report the successful use of OK-432 for a low-birth-weight infant with trisomy 18 who developed refractory chylothorax after thoracic surgery. Increasing the concentration of OK-432 seems useful in cases with a lot of pleural effusion. Read More

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Fluorescence-Guided Identification of the Thoracic Duct by VATS for Treatment of Postoperative Chylothorax: A Short Case Series.

Front Surg 2022 4;9:912351. Epub 2022 May 4.

Thoracic Surgery Unit, Cardiothoracic Department, S. Maria della Misericordia University Hospital, Udine, Italy.

Background: Chylothorax is a relatively rare complication after surgery of the mediastinum. The occurrence and the results of surgical treatment of this condition are difficult to foresee due to the wide heterogeneity in thoracic duct anatomy.

Case Summary: We report two cases of postoperative chylothorax treated with ligation by video-assisted thoracoscopic surgery (VATS). Read More

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Percutaneous Radiofrequency Ablation to Occlude the Thoracic Duct: Preclinical Studies in Swine for a Potential Alternative to Embolization.

J Vasc Interv Radiol 2022 May 17. Epub 2022 May 17.

Department of Medical Imaging, University of Arizona, 1501 N. Campbell Avenue, Tucson, AZ 85724.

Purpose: To investigate the feasibility of percutaneous radiofrequency ablation (RFA) to occlude the thoracic duct (TD) in a swine model with imaging and histologic correlation.

Materials And Methods: Six swine underwent TD RFA. Two terminal (4 hours; 1 open, 1 percutaneous) and four survival (30 days; all percutaneous) studies were performed. Read More

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[Surgery for chyloptysis].

Khirurgiia (Mosk) 2022 (5):120-125

Sechenov First Moscow State Medical University, Moscow, Russia.

Chyloptysis is a rare disease characterized by formation of bronchial casts containing chyle and repeating bronchial tree branching. The authors report a 56-year-old woman with chyloptysis accompanied by cough and expectoration of milky bronchial casts, as well several episodes of asphyxia. Stages of diagnosis and successful treatment including thoracic duct ligation and skeletonization of the root of the left lung are described. Read More

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Dasatinib-induced massive left chylothorax in a patient with chronic myeloid leukemia.

Respir Med Case Rep 2022 5;37:101662. Epub 2022 May 5.

Department of Allergy and Respiratory Medicine, Okayama University Hospita, Japanl.

Dasatinib, an effective second-generation tyrosine kinase inhibitor, is used to treat breakpoint cluster region-Ableson-positive chronic myeloid leukemia or Philadelphia chromosome-positive acute lymphocytic leukemia. One common adverse event associated with dasatinib use is fluid retention, including pleural effusion. Chylothorax, however, is a rare adverse event. Read More

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Pulmonary lymphangiectasia in myotubular myopathy: a novel unrecognized association?

Neuromuscul Disord 2022 Jun 2;32(6):512-515. Epub 2022 May 2.

Division of Neonatology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada.

Chylothorax has been reported in rare cases of X-linked myotubular myopathy, but the pathophysiology of this association is not fully understood. We report a case of a neonate presenting prenatally with hydrops and chylothorax. The patient died at 17 days of life due to respiratory failure secondary to severe pulmonary hypertension. Read More

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Radiographic, CT and MRI features of generalized lymphatic anomaly in a boy.

Curr Med Imaging 2022 May 16. Epub 2022 May 16.

Hospital of China Medical University, Liaoning, Shenyang 110004, China.

Background: Generalized lymphatic anomaly (GLA) is a rare condition, mainly involving bones, soft tissue, and internal organs. The diagnosis of GLA is often difficult.

Case Presentation: We report a case of GLA in a boy who was initially treated for suspected Langerhans cell histiocytosis and discuss the potential imaging features of GLA. Read More

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Postoperative Chylothorax in Neonates and Infants after Congenital Heart Disease Surgery-Current Aspects in Diagnosis and Treatment.

Nutrients 2022 Apr 26;14(9). Epub 2022 Apr 26.

Department of Pediatric and Adult Congenital Heart Surgery, Onassis Cardiac Surgery Center, 17674 Athens, Greece.

Postoperative chylothorax is a rare complication following cardiac surgery for congenital heart disease (CHD) in the pediatric population, including neonates and infants. Multiple mechanisms are involved in the development of postoperative chylous effusions, mainly the traumatic injury of lymphatic vessels, systemic venous obstruction and dysfunction of the right ventricle. In this review, we focus on the existing evidence regarding the definition and diagnosis of postoperative chylothorax in children with CHD, as well as current therapeutic approaches, both nutritional and interventional, for the management of these patients. Read More

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Systematic literature review of lymphatic imaging-guided procedural management of Noonan syndrome.

J Vasc Surg Venous Lymphat Disord 2022 May 10. Epub 2022 May 10.

Department of Surgery, University of Arizona College of Medicine, Tucson, AZ. Electronic address:

Objectives: To assess through literature case analysis how advances in lymphatic imaging, interventional radiology, and lymphatic vascular microsurgery illuminate and improve the lymphatic-flow status in select patients with Noonan syndrome (NS) who have undergone surgical intervention as a part of their comprehensive and individualized treatment plan. Also, we sought to illustrate the spectrum of lymphatic complications that can occur in this patient population when lymphatic flow through abnormal vasculature is surgically disrupted.

Methods: A literature review was performed by searching "Noonan AND Lymphatic AND Imaging" in the PubMed database. Read More

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Congenital Chylothorax of the Newborn.

Respiration 2022 May 12:1-2. Epub 2022 May 12.

Emergency Department, IRCCS Gaslini Institute, University of Genoa, Genoa, Italy.

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