Bilateral chylothorax after severe vomiting in a child

The Annals of Thoracic Surgery
Erdal Yekeler, Hakki Ulutas

Abstract

In the etiology of chylothorax, traumas and malignancies are the first two leading causes. Today in pediatric patients, the most common cause of chylothorax includes the complications secondary to cardiothoracic operations. Bilateral chylothorax is rarely observed after severe vomiting leading to increase in intrathoracic pressure. In idiopathic chylothorax, bilateral localization is dominant. A 9-year-old girl who presented to our emergency department with the complaints of dyspnea and back pain following severe vomiting received a diagnosis of bilateral chylothorax. The patient was treated with the insertion of a bilateral chest tube, and pleurodesis was performed in left hemithorax. Examination did not reveal a pathology to this condition, except the vomiting observed 2 days previously after the meal.

References

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Citations

Jun 13, 2014·BMJ Case Reports·Thomas AherneJonathan McGuinness
May 15, 2016·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Antonio Lucas Lima RodriguesAntonia Teresinha Tresoldi
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Dec 18, 2013·Deutsches Ärzteblatt International·Hans H SchildJörg Kalff
Aug 28, 2019·Respiratory Medicine·Leonard E Riley, Ali Ataya

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