3,782 results match your criteria Chylothorax


Treatment of Chylothorax with Pleurodesis (A Lesser Known Complication of Behçet's Disease): A Case Report.

J Tehran Heart Cent 2018 Oct;13(4):180-182

Yozgat State Hospital, Yozgat, Turkey.

Behçet's Disease (BD) is a multisystemic vasculitis which usually affects optical, genital, and oral mucosae and often reoccurs intermittently. Chylothorax is a very rare complication of BD which usually causes thrombosis in the major venous system. A 27-year-old man with a 10-year history of BD referred to our cardiovascular surgery department with symptoms of serious aches in the left arm, edema, and apparent veins on the left anterior chest wall. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450816PMC
October 2018
1 Read

Yellow nail syndrome resulting from cardiac mitral valve replacement.

J Cardiothorac Surg 2019 Apr 11;14(1):72. Epub 2019 Apr 11.

Department in cardiac surgery hospital of Damascus university, Damascus, Syria.

Background: Yellow nail syndrome is a rare disease with unknown etiology, Attributed to functional anomalies or disturbance in lymphatic drainage. This condition is characterized by triad of nail discoloration, respiratory or intrathoracic manifestations and lymphedema.

Case Presentation: Twenty days after mitral valve replacement for severe rheumatic mitral valve stenosis, 39 years old woman presented with face tenderness and hearing problems besides stuffy and clogged nose and underwent routin rhinosinusitis therapy. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-019-0903-1DOI Listing
April 2019
6 Reads

Bilateral chylothorax associated with osteophytes in an elderly patient.

BMJ Case Rep 2019 Apr 8;12(4). Epub 2019 Apr 8.

Department of Pulmonary Medicine, Eiju General Hospital, Taito-ku, Japan.

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http://dx.doi.org/10.1136/bcr-2019-229473DOI Listing

Chyle test is not a valuable laboratory index in identifying chylothorax after pulmonary resection and lymph node dissection for primary non-small cell lung cancer.

J Cancer Res Ther 2019 ;15(2):324-328

Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong Province, People's Republic of China.

Objective: Chyle test is widely used to identify chylothorax after pulmonary resection and lymph node dissection for primary non-small cell lung cancer (NSCLC). Low accuracy of chyle test in identifying chylothorax is rarely reported. This observational study was designed to identify the diagnostic value of chyle test. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_249_18DOI Listing
January 2019
1 Read

A rare case of Gorham-stout syndrome involving the thoracic spine with progressive bilateral chylothorax: a case report.

BMC Musculoskelet Disord 2019 Apr 9;20(1):154. Epub 2019 Apr 9.

The Third Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Background: Gorham-Stout syndrome (GSS) with spinal involvement is extremely rare, and bilateral chylothorax as a complication is usually fatal. In our case, pleural effusion appeared in the left hemithorax after ligating the right thoracic duct.

Case Presentation: A 14-year-old patient presented with GSS affecting the thoracic spine with bilateral chylothorax. Read More

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http://dx.doi.org/10.1186/s12891-019-2542-zDOI Listing
April 2019
1 Read

Transudative chylothorax associated with alcoholic cirrhosis.

Oxf Med Case Reports 2019 Mar 29;2019(3):omz019. Epub 2019 Mar 29.

Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Sibata2-2-37, Shibata, Yokkaichi-shi, Mie, Japan.

We present the case of a 53-year-old man with decompensated alcoholic cirrhosis who was referred for right pleural effusion. After investigation, the patient was ultimately diagnosed with cirrhotic chylothorax. Chylothorax is a rare manifestation of cirrhosis, which results from the trans-diaphragmatic passage of chylous ascites. Read More

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http://dx.doi.org/10.1093/omcr/omz019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440272PMC
March 2019
1 Read

99mTc-SC lymphoscintigraphy and SPECT/CT findings in a case report of Gorham-Stout disease presenting with chylothorax and bone pain.

Medicine (Baltimore) 2019 Apr;98(14):e15023

Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.

Rationale: Gorham-Stout disease (GSD) is a rare disorder characterized by multiple osteolytic lesions, sometimes complicated by chylothorax. The aim of this case report is to introduce a very rare case of Gorham-Stout syndrome, which involved several bones along with chylous pericardial and pleural effusions detected by Tc-sulfur colloid (SC) lymphoscintigraphy and single photon emission computed tomography/computed tomography (SPECT/CT).

Patient Concerns: A 15-year-old girl presented to our hospital complaining of shortness of breath and bone pain. Read More

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http://dx.doi.org/10.1097/MD.0000000000015023DOI Listing
April 2019
2 Reads

Influence of Neoadjuvant Therapy on Poor Long-Term Outcomes of Postoperative Complications in Patients with Esophageal Squamous Cell Carcinoma: A Retrospective Cohort Study.

Ann Surg Oncol 2019 Apr 1. Epub 2019 Apr 1.

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

Background: Postoperative complications have a negative impact on overall survival after esophagectomy because systemic inflammation may induce residual cancer cell growth. A solution that could suppress micrometastasis is neoadjuvant therapy; however, to date, no study has shown that neoadjuvant therapy suppresses proliferation of cancer cells due to postoperative complications after esophagectomy. The aim of this study is to investigate the influence of neoadjuvant therapy on poor long-term outcomes of postoperative complications in patients with esophageal carcinoma. Read More

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http://dx.doi.org/10.1245/s10434-019-07312-zDOI Listing
April 2019
2 Reads

Lymphangioleiomyomatosis: A Case Report and Review of Literature.

Cureus 2019 Jan 22;11(1):e3938. Epub 2019 Jan 22.

Internal Medicine, New York - Presbyterian Hospital Queens, Flushing, USA.

Pulmonary lymphangioleiomyomatosis (LAM) is a disease, which is most commonly seen in women of childbearing age. The objective of this article was to provide education about the typical clinical presentation, radiologic findings, histology, treatment approaches, and differential diagnosis. Pulmonary LAM is a cystic lung disease, usually generalized and progressive and extremely difficult to treat and is considered to have a poor prognosis. Read More

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http://dx.doi.org/10.7759/cureus.3938DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433088PMC
January 2019
2 Reads

Low fat tube feeding after esophagectomy is associated with a lower incidence of chylothorax.

Ann Thorac Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Surgery, Division of Surgical Specialties, University Medical Center Utrecht, Utrecht University, the Netherlands Heidelberglaan 100, P.O. Box 85500, 3508 GA Utrecht, the Netherlands. Electronic address:

Background: Chylothorax is a treacherous complication after esophagectomy associated with significant morbidity. Early enteral nutrition after surgery is important for recovery, but increases the pressure in the lymphatic system due to the absorption of triglycerides. To lower the incidence of chylothorax after esophagectomy, the use of low fat-containing tube feeding was evaluated as a standard of care following esophagectomy. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.056DOI Listing
March 2019
1 Read

Hybrid single-port laparoscopic cisterna chyli ablation for the adjunct treatment of chylothorax disease in dogs.

Vet Surg 2019 Mar 30. Epub 2019 Mar 30.

Department of Surgery, Guardian Veterinary Specialists, Brewster, New York.

Objective: To describe a hybrid, single-port, minimally invasive cisterna chyli ablation (CCA) technique in clinical cases of canine idiopathic chylothorax and evaluate this technique as a method for mesenteric lymphangiography (ML) in canine cadavers and clinical cases of idiopathic chylothorax.

Study Design: Cadaveric and retrospective study.

Animals: Six canine cadavers and 14 client-owned dogs with naturally occurring idiopathic chylothorax. Read More

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http://dx.doi.org/10.1111/vsu.13195DOI Listing
March 2019
1 Read

A Case of Adult T-Cell Leukemia/Lymphoma Complicated with Bilateral Chylothorax.

Case Rep Oncol Med 2019 17;2019:8357893. Epub 2019 Feb 17.

Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan.

We present the case of a 74-year-old Japanese woman who presented with dyspnea, a palpable right breast mass, and swollen right axillary lymph node. Imaging studies revealed bilateral pleural effusion and systemic lymph adenopathy and pleural fluid study showed high levels of triglycerides. A right inguinal lymph node biopsy disclosed malignant lymphoma cells that were human T-cell leukemia virus type 1 (HTLV-1) provirus DNA-positive, a condition endemic to patient's birthplace, by the Southern blot hybridization method. Read More

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http://dx.doi.org/10.1155/2019/8357893DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398058PMC
February 2019

A previously undescribed cutaneous paraneoplastic syndrome in a cat with thymoma.

Vet Dermatol 2019 Mar 25. Epub 2019 Mar 25.

Department of Small Animal Teaching Hospital, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Easter Bush, Edinburgh, EH25 9RG, Scotland, UK.

Background: Exfoliative dermatitis is a well-recognized cutaneous paraneoplastic syndrome (PNS) associated with thymoma in cats, of which the clinical and histopathological presentation has been well-characterized.

Objectives: To describe a novel clinical skin manifestation associated with thymoma in a cat.

Animal: A 14-year-old neutered female domestic short hair cat. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/vde.12745
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http://dx.doi.org/10.1111/vde.12745DOI Listing
March 2019
10 Reads

[Clinical features and prognosis of neonates with nonimmune hydrops fetalis].

Zhongguo Dang Dai Er Ke Za Zhi 2019 Mar;21(3):253-258

Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China.

Objective: To study the clinical features, etiology and prognosis of neonates with nonimmune hydrops fetalis (NIHF).

Methods: A retrospective analysis was performed for the clinical data and outcomes of 23 neonates with NIHF.

Results: Of the 23 neonates with NIHF, 18 (78%) were preterm infants and 5 (22%) were full-term infants; 12 (52%) had birth asphyxia (including 5 cases of severe asphyxia). Read More

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March 2019
1 Read

Chylous ascites in disseminated Kaposi sarcoma: an unusual manifestation as immune reconstitution inflammatory syndrome.

BMJ Case Rep 2019 Mar 22;12(3). Epub 2019 Mar 22.

Department of Internal Medicine, Hospital de Cascais, Cascais, Portugal.

A 29-year-old man with diarrhoea, fever, abdominal pain and multiple purple papular lesions, neither pruriginous nor painful, was diagnosed with HIV-1 infection and disseminated Kaposi sarcoma (KS) with gastrointestinal involvement. He was started on highly active antiretroviral therapy immediately, as well as doxorubicin. Three weeks later, the patient developed bilateral moderate pleural effusion and large-volume ascites compatible with chylothorax and chylous ascites. Read More

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http://dx.doi.org/10.1136/bcr-2018-228406DOI Listing
March 2019
1 Read

Compressive chylothorax after lumbar spine fracture.

Arch Pediatr 2019 Apr 18;26(3):168-170. Epub 2019 Mar 18.

Chirurgie orthopédique pédiatrique, hôpital Clocheville, 49, boulevard Beranger, 37000 Tours, France.

A 14-year-old boy was admitted to the hospital after an episode of blunt trauma to the thorax, resulting in a Chance fracture of L1 and a compressive chylothorax 72h after admission. After initial drainage in the operating room, conservative management was successful. This case study documents one of the rare complications of spinal fractures in the context of high-energy blunt trauma. Read More

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http://dx.doi.org/10.1016/j.arcped.2019.02.012DOI Listing
April 2019
1 Read

The usefulness of three-dimensional video-assisted thoracoscopic esophagectomy in esophageal cancer patients.

Esophagus 2019 Mar 19. Epub 2019 Mar 19.

Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Background: The three-dimensional video-assisted (3D-VA) system is known to provide depth perception and the precise measurement of anatomical spaces, unlike the two-dimensional video-assisted (2D-VA) system. However, the advantages of the 3D-VA system in thoracoscopic esophagectomy remains unclear.

Methods: We retrospectively analyzed data from 104 patients who underwent thoracoscopic esophagectomy for esophageal cancer from 2016 to 2017. Read More

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http://dx.doi.org/10.1007/s10388-019-00661-4DOI Listing
March 2019
4 Reads
0.741 Impact Factor

A Case of Bilateral Spontaneous Chylothorax with Respiratory Syncytial Virus Bronchiolitis.

Case Rep Pediatr 2019 6;2019:2853632. Epub 2019 Feb 6.

Division of Critical Care Medicine, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.

A case of bilateral spontaneous chylothorax with respiratory syncytial virus (RSV) bronchiolitis has never been reported. We report the case of a 7-month-old boy born at 33 weeks gestation with a history of Down syndrome, atrial septal defect, pulmonary hypertension, and chronic lung disease, hospitalized due to RSV bronchiolitis who developed bilateral spontaneous chylothorax with exacerbation of pulmonary hypertension (PH). The patient died after 9 weeks of mechanical ventilation and treatment for PH. Read More

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http://dx.doi.org/10.1155/2019/2853632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381583PMC
February 2019
1 Read

Congenital Chylothorax in a Neonate with Cornelia de Lange Syndrome: A Rare Complication Managed with a Novel Indigenously Prepared Milk Formulation.

Indian J Pediatr 2019 Mar 16. Epub 2019 Mar 16.

Department of Maternal and Reproductive Health, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Congenital chylothorax is a relatively uncommon condition seen in newborn period. Treatment comprises of adequate pleural fluid drainage, octreotide infusion, total parenteral nutrition followed by medium chain triglyceride (MCT) based low fat milk preparations. The authors present a case of Cornelia de Lange syndrome with a rare presentation of antenatally diagnosed chlyothorax presenting at birth with respiratory distress. Read More

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http://dx.doi.org/10.1007/s12098-019-02908-5DOI Listing
March 2019
0.919 Impact Factor

Indwelling pleural catheters for benign pleural effusions: what is the evidence?

Curr Opin Pulm Med 2019 Mar 6. Epub 2019 Mar 6.

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, USA.

Purpose Of Review: Benign pleural effusions are common and usually managed by treating the underlying disease process. In some patients, these effusions may be refractory to medical management. Indwelling pleural catheters, used extensively for malignant pleural effusions, are increasingly used in benign pleural effusions not responding to medical therapy. Read More

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http://dx.doi.org/10.1097/MCP.0000000000000574DOI Listing
March 2019
1 Read

Safety and efficacy of computed tomography-guided dye localization using patent blue V for single lung nodule for video-assisted thoracoscopic surgery: a retrospective study.

Ann Transl Med 2019 Jan;7(2):28

Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taichung, Taiwan.

Background: For invisible or impalpable lung nodules, video-assisted thoracoscopic surgery (VATS) has some limitations; some preoperative localization has been developed to overcome this limitation. This study aimed to assess the safety and efficacy of preoperative computed tomography (CT)-guided localization with patent blue V dye.

Methods: In this retrospective study, we examined patients with solitary pulmonary nodule undergoing preoperative CT-guided patent blue V dye localization from 2013 to 2015. Read More

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http://dx.doi.org/10.21037/atm.2019.01.27DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381270PMC
January 2019
2 Reads

Chylous Manifestations and Management of Gorham-Stout Syndrome.

Korean J Thorac Cardiovasc Surg 2019 Feb 5;52(1):44-46. Epub 2019 Feb 5.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine.

Gorham-Stout disease (GSD) was first described by Gorham and colleagues in 1954, but its precise mechanism and cause remain to be elucidated. In this condition, voluminous and potentially fatal chylous effusions into the thorax can occur. Herein, we describe a case of GSD in which the patient presented with massive pleural effusions and mottled osteolytic bone lesions. Read More

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http://dx.doi.org/10.5090/kjtcs.2019.52.1.44DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383852PMC
February 2019
3 Reads

Inflammatory process of patients receiving parenteral nutrition is not exclusively responsible for low selenium and glutathione peroxidase levels.

Nutrition 2019 May 26;61:202-207. Epub 2018 Oct 26.

College of Medical Sciences, State University of Campinas (UNICAMP), Campinas, SP, Brazil; São Leopoldo Mandic College of Medicine and Dentistry, Campinas, SP, Brazil.

Objective: The aim of this study was to verify if the selenium status of patients residing in locations with selenium-poor soil who receive parenteral nutrition (PN) without selenium supplementation is associated with the inflammatory process.

Methods: This was a prospective cohort study with hospitalized patients who started PN. The analyzed biochemical tests were plasma selenium, glutathione peroxidase (GPx), C-reactive protein, prealbumin, albumin, creatinine, lymphocytes, total cholesterol, high-density lipoprotein, and triglycerides. Read More

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http://dx.doi.org/10.1016/j.nut.2018.09.034DOI Listing
May 2019
1 Read

Chylothorax after spinal fusion surgery: A case report and literature review.

Respir Med Case Rep 2019 5;26:260-264. Epub 2019 Feb 5.

Department of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan.

Chylothorax is reported as a postoperative complication, mainly in the field of thoracic surgery, but there are only 14 reports in the field of spinal surgery. A 64-year-old woman underwent spinal fusion surgery by the anterior and posterior approach for her scoliosis. She developed leg edema and right pleural effusion 2 months after the surgery. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378334PMC
February 2019
4 Reads

[Chylothorax: Current Therapeutic Options].

Zentralbl Chir 2019 Feb 22. Epub 2019 Feb 22.

Radiologische Klinik, Universitätsklinikum Bonn, Deutschland.

Therapeutic options in management of chylothorax encompass conservative, surgical and also interventional measures. Despite the fact that interventions have been performed in substantial numbers of patients - particularly thoracic duct embolisations - general knowledge about this therapeutic option is still limited. Therefore, this article gives an overview of the state of the art for therapeutic options, also emphasising radiological/interventional procedures. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0831-2649
Publisher Site
http://dx.doi.org/10.1055/a-0831-2649DOI Listing
February 2019
5 Reads

Prognostic Impact of Postoperative Complications on Overall Survival in 287 Patients With Oral Cancer: A Retrospective Single-Institution Study.

J Oral Maxillofac Surg 2019 Jan 26. Epub 2019 Jan 26.

Professor, Stomatological Hospital of Chongqing Medical University, Chongqing; the Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing; and the Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. Electronic address:

Purpose: To investigate the relation between postoperative complications and long-term survival in patients with oral cancer after surgery and to explore the methods that improve survival rate through analyzing risk factors for postoperative complications.

Materials And Methods: This is a retrospective single-institution study of a cohort of 287 patients with oral cancer who underwent surgery at the Stomatological Hospital of the Chongqing Medical University (Chongqing, China) from January 1, 2007 through December 31, 2012.

Results: Postoperative complications occurred in 80 patients (27. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.020DOI Listing
January 2019
3 Reads
1.280 Impact Factor

Tyrosine Kinase Inhibitor Associated Fibrothorax.

Am J Respir Crit Care Med 2019 Feb 20. Epub 2019 Feb 20.

The University of Texas Health Science Center at Houston, Internal Medicine-Division of Critical Care Medicine, Houston, Texas, United States.

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http://dx.doi.org/10.1164/rccm.201806-1155IMDOI Listing
February 2019
4 Reads

Effective method of evaluating infantile chylothorax.

Pediatr Int 2019 Feb 15;61(2):203-205. Epub 2019 Feb 15.

Department of Radiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

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http://dx.doi.org/10.1111/ped.13762DOI Listing
February 2019

Nonintubated Thoracoscopic Surgery for Lung Tumor: Seven Years' Experience with 1025 Cases.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital.

Background: Nonintubated thoracoscopic surgery for lung tumor is not widely performed. This study assessed the safety, outcome, and risk factors for conversion to tracheal intubation of nonintubated thoracoscopic surgery for lung tumor resection.

Methods: We retrospectively reviewed the records of 1025 patients who underwent lung tumor resection by nonintubated thoracoscopic surgery from August 2009 to December 2016 at our institution. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.013DOI Listing
February 2019
1 Read

[Intranodal lymphangiography in pediatric chylothorax, a diagnostic and therapeutic tool].

Cir Pediatr 2019 Jan 21;32(1):41-45. Epub 2019 Jan 21.

Departamento de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid.

Introduction: High morbidity has been described in secondary chylothorax. Thoracic duct embolization (TDE) after intranodal lymphangiography (IL) is one of the treatments in adults but there is poor experience in children. We aim to describe our experience with this technique for refractory pediatric chylothorax. Read More

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January 2019
10 Reads

Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection.

J Surg Case Rep 2019 Jan 24;2019(1):rjy364. Epub 2019 Jan 24.

Division of General Thoracic Surgery, Department of Surgery, Shiga University Medical Science, Setatsukinowa-cho, Otsu, Shiga 5202192, Japan.

To the best of our knowledge, there have been no previous reports of chylothorax developing after pancreatectomy, although chylous ascites can occur. In patients with a pleuroperitoneal communication, ascitic fluid can flow into the thoracic cavity through a small hole in the diaphragm. A 70-year-old woman underwent total pancreatectomy and was referred to our department for treatment of right chylothorax after removal of her abdominal drainage tubes. Read More

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http://dx.doi.org/10.1093/jscr/rjy364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344917PMC
January 2019
2 Reads

Human Milk and Infants With Congenital Heart Disease: A Summary of Current Literature Supporting the Provision of Human Milk and Breastfeeding.

Adv Neonatal Care 2018 Jan 28. Epub 2018 Jan 28.

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania (Ms Davis); Helen M. Shearer Professor of Nutrition, University of Pennsylvania School of Nursing, Philadelphia (Dr Spatz); Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania (Dr Spatz); and Children's Hospital of Philadelphia's Mothers' Milk Bank, Philadelphia, Pennsylvania (Dr Spatz).

Background: Human milk is a life-saving medical intervention. Infants with congenital heart disease are at an increased risk for necrotizing enterocolitis, chylothorax, feeding difficulties, and growth failure. In the absence of evidence-based care, their mothers are also at risk for low milk supply and/or poor breastfeeding outcomes. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000582DOI Listing
January 2018
2 Reads

Chylothorax in a patient with HIV-related Kaposi's sarcoma.

BMJ Case Rep 2019 Jan 22;12(1). Epub 2019 Jan 22.

Respiratory Medicine, Glenfield Hospital Department of Respiratory Disorders Lung Disorders and Thoracic Medicine, Leicester, UK.

We present a case of a 33-year-old man with a background of HIV and Kaposi's sarcoma (KS), who presented with a right sided chylothorax. He was managed with percutaneous chest drainage and talc pleurodesis, in addition to his chemotherapy and antiretroviral therapy for KS and HIV, respectively. Good clinical control of the chylothorax remained 4 months post drainage. Read More

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http://dx.doi.org/10.1136/bcr-2018-227641DOI Listing
January 2019
2 Reads

Laparoscopic Transhiatal Thoracic Duct Ligation for Chylothorax after Esophagectomy.

Thorac Cardiovasc Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Saitama, Japan.

In esophagectomy for thoracic esophageal cancer, chylothorax may develop at a certain frequency. For chylothorax, conservative treatment is selected first, but if it is not improved, thoracic duct (TD) ligation is considered. In general, transthoracic approach is chosen to reach the TD. Read More

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http://dx.doi.org/10.1055/s-0038-1677507DOI Listing
January 2019
3 Reads

Chylothorax, new insights in treatment.

J Thorac Dis 2018 Nov;10(Suppl 33):S3976-S3977

Cardio-Thoracic Surgery Department James Cook University Hospital, Middlesbrough, UK.

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http://dx.doi.org/10.21037/jtd.2018.09.94DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297462PMC
November 2018

A Child with Early-Onset Gorham-Stout Disease Complicated by Chylothorax: Near-Complete Regression of Bone Lesions with Interferon and Bisphosphonate Treatment.

Horm Res Paediatr 2019 Jan 10:1-5. Epub 2019 Jan 10.

Pediatric Clinic, Department Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy.

We report a case of Gorham-Stout disease (GSD) complicated by chylothorax and treated with a combination therapy with interferon and bisphosphonates. This treatment may be helpful in improving the usually unfavorable prognosis of GSD beginning with a chylothorax before 1 year of age, and in reducing bone lesions. Moreover, the use of bisphosphonates appears to be useful in treating pain. Read More

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https://www.karger.com/Article/FullText/495364
Publisher Site
http://dx.doi.org/10.1159/000495364DOI Listing
January 2019
10 Reads

Experiences in the treatment of refractory chylothorax associated with lymphoproliferative disorders.

Orphanet J Rare Dis 2019 01 9;14(1). Epub 2019 Jan 9.

4th Department of Internal Medicine - Hematology, University Hospital, Sokolska Street 581, 5005, Hradec Kralove, Czech Republic.

Background: Chylothorax is a rare condition which can be associated with malignant lymphoproliferative disorders (LPDs). We retrospectively analyzed the results of the conservative treatment of 10 patients with persistent non-traumatic malignant chylothorax.

Results: Conservative treatment lead to a decline of chylothorax after mean of 66 days and consisted of the treatment of the underlying disease and of simultaneous long-term supportive care (drainage of the thoracic cavity, dietary measures and nutrition management). Read More

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http://dx.doi.org/10.1186/s13023-018-0991-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327395PMC
January 2019
9 Reads

Percutaneous Balloon Plasty for Thoracic Duct Occlusion in a Patient with Chylothorax and Chylous Ascites.

Cardiovasc Intervent Radiol 2019 May 7;42(5):779-783. Epub 2019 Jan 7.

Department of Radiology, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.

A patient developed abdominal distension, dyspnea, and nausea due to chylothorax and chylous ascites 1 month after bruising her back. Lymphangiography was unable to identify the site of lymph leakage, and lymphatic duct embolization was impractical. However, lymphangiography showed occlusion of the thoracic duct. Read More

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http://dx.doi.org/10.1007/s00270-018-02157-7DOI Listing
May 2019
4 Reads

Imaging of central lymphatic abnormalities in Noonan syndrome.

Pediatr Radiol 2019 May 6;49(5):586-592. Epub 2019 Jan 6.

Division of Cardiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Background: Children with Noonan syndrome are known to have increased risk for lymphatic disorders, the extent and nature of which are poorly understood.

Objective: Our objective was to describe the imaging findings of the central lymphatic abnormalities in children with Noonan syndrome who underwent central lymphatic imaging.

Materials And Methods: We conducted a single-center retrospective review of all children with a confirmed history of Noonan syndrome who presented for lymphatic imaging over a 5-year period. Read More

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http://dx.doi.org/10.1007/s00247-018-04337-6DOI Listing
May 2019
9 Reads

Propranolol treatment for chylothorax due to diffuse lymphangiomatosis.

Pediatr Blood Cancer 2019 May 4;66(5):e27592. Epub 2019 Jan 4.

Department of Pediatrics, Division of Pediatric Hemtology Oncology Unit Erciyes University, Kayseri, Turkey.

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http://dx.doi.org/10.1002/pbc.27592DOI Listing

A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy.

Surg Case Rep 2019 Jan 3;5(1). Epub 2019 Jan 3.

Department of Gastroenterological Surgery, Shizuoka General Hospital, 4-27-1 Kita Ando Aoi-ku, Shizuoka City, 420-8527, Japan.

Background: Lymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few.

Case Presentation: A 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Read More

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http://dx.doi.org/10.1186/s40792-018-0560-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318159PMC
January 2019
2 Reads

Chylothorax due to sarcoidosis: A unique occurrence.

Lung India 2019 Jan-Feb;36(1):87-89

Department of Pulmonary Medicine, T. N. Medical College, BYL Nair Hospital, Mumbai, Maharashtra, India.

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http://dx.doi.org/10.4103/lungindia.lungindia_408_18DOI Listing
January 2019
2 Reads

Ligation of thoracic duct during thoracoscopic esophagectomy can lead to decrease of T lymphocyte.

J Cancer Res Ther 2018 ;14(7):1535-1539

Department of Thoracic Surgery, Qianfoshan Hospital of Shandong Province, Shandong University, Jinan, Shandong, China.

Background: Video-assisted thoracoscopic esophagectomy has been one of the most preferable surgical treatments for early esophageal cancer. Some scholars suggested that the thoracic duct should be routinely ligated to reduce the incidence of postoperative chylothorax, while another group raised an objection. As a classic indicator of immune function, T lymphocyte subsets can be applied to assess the effects of prophylactic thoracic duct ligation during thoracoscopic esophagectomy. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_596_17DOI Listing
February 2019
3 Reads

[Assessment of Fat-free Diet for Postoperative Chylothorax].

Kyobu Geka 2018 12;71(13):1063-1065

Division of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Japan.

Background: Chylothorax after lung cancer surgery is relatively rare but must be considered as a complication of thoracic surgery.

Method: Between January 2012 and June 2017, 818 patients underwent lung cancer surgery at our hospital. Among them, 14 (1. Read More

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December 2018
1 Read

Predicted clinical factors associated with the intensive care unit length of stay after total cavopulmonary connection.

J Thorac Cardiovasc Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany; Insure (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany; German Center for Cardiovascular Research, Munich, Germany.

Objectives: A longer length of stay (LOS) in the intensive care unit (ICU) after the total cavopulmonary connection (TCPC) is thought to be a predictive sign of late Fontan failure. This study was performed to determine the clinical risk factors for ICU LOS.

Methods: In total, 483 patients who underwent a TCPC between May 1994 and December 2016 were included the study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223183296
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http://dx.doi.org/10.1016/j.jtcvs.2018.10.144DOI Listing
November 2018
15 Reads

Successful treatment of congenital chylothorax with skimmed milk and long course octreotide.

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

Department of Pediatrics, All India Institute of Medical Sciences,New Delhi, New Delhi, India.

Congenital chylothorax (CC) is a rare entity in neonatal period requiring multimodal management strategies. Despite optimum treatment, some cases remain refractory posing significant challenge to the treating physician. We here describe a 33-week preterm neonate presenting with refractory congenital chylothorax who needed treatment with combination of skimmed milk, high dose and prolonged duration octreotide for resolution. Read More

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http://dx.doi.org/10.1136/bcr-2018-226347DOI Listing
December 2018
1 Read

Nodules and masses are associated with malignant pleural effusion in dogs and cats but many other intrathoracic CT features are poor predictors of the effusion type.

Vet Radiol Ultrasound 2018 Dec 17. Epub 2018 Dec 17.

Department of Clinical Studies New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, 19348.

Thoracic CT may be used in the workup of patients with pleural effusion. In humans, certain pleural features on CT aid in diagnosing an underlying cause for pleural effusion, whereas this is not well studied in veterinary medicine. This retrospective cross-sectional analytical study assessed pleural and other intrathoracic abnormalities on CT in dogs and cats with pleural effusion and explored potential discriminatory features between effusion types. Read More

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http://doi.wiley.com/10.1111/vru.12706
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http://dx.doi.org/10.1111/vru.12706DOI Listing
December 2018
6 Reads

Retrospective analysis of pleural effusion in cats.

J Feline Med Surg 2018 Dec 17:1098612X18816489. Epub 2018 Dec 17.

1 Clinic of Small Animal Medicine, LMU University of Munich, Munich, Germany.

Objectives: Pleural effusion is a common presenting cause for feline patients in small animal practice. The objectives of this study were to identify possible correlations between the aetiology of effusion and clinical and laboratory findings.

Methods: In this retrospective study of 306 cats diagnosed with pleural effusion of established aetiology, cats were divided into six major groups: cardiac disease (CD), feline infectious peritonitis (FIP), neoplasia, pyothorax, chylothorax and miscellaneous. Read More

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http://dx.doi.org/10.1177/1098612X18816489DOI Listing
December 2018

Direct contrast-enhanced magnetic resonance lymphangiography in the diagnosis of persistent occult chylous effusion leak after thoracic duct embolization.

J Vasc Surg Venous Lymphat Disord 2019 Mar 13;7(2):251-257. Epub 2018 Dec 13.

Section of Vascular and Interventional Radiology, Department of Radiology, Loma Linda University School of Medicine, Loma Linda, Calif. Electronic address:

Thoracic duct embolization (TDE) is currently the technique of choice for chylothorax refractory to medical management. Diagnosis and treatment of persistent lymphatic leakage after an initially successful TDE are complicated by inadequate imaging to localize the nidus of the lymphatic leak. Traditional imaging modalities including nuclear medicine lymphoscintigraphy, magnetic resonance lymphangiography, and fluoroscopic lymphangiography lack spatial resolution and dynamic physiologic real-time evaluation. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.09.013DOI Listing
March 2019
1 Read

A novel autosomal dominant mutation in SOX18 resulting in a fatal case of hypotrichosis-lymphedema-telangiectasia syndrome.

Am J Med Genet A 2018 Dec 14;176(12):2824-2828. Epub 2018 Dec 14.

Department of Pediatrics, University of California, San Diego and Rady Children's Hospital, San Diego, California.

Hypotrichosis-lymphedema-telangiectasia syndrome (HLTS) is a rare disorder caused by autosomal recessive and autosomal dominant mutations in SOX18. This gene encodes a transcription factor involved in the regulation and development of the human vasculature, lymphatic, and integumentary systems. Individuals with HLTS develop varying degrees of hypotrichosis, lymphedema, and telangiectasias. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ajmg.a.40532
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http://dx.doi.org/10.1002/ajmg.a.40532DOI Listing
December 2018
12 Reads