PMID: 9163662May 1, 1997Paper

Chylothorax and pseudochylothorax

The European Respiratory Journal
G Hillerdal

Abstract

Chylothorax is the occurrence of chylus (lymph) in the pleura due to damage to the thoracic duct. There is a high content of triglycerides, and chylomicrons can be seen. It is usually right-sided, since most of the duct is within the right hemithorax. With damage at the level of the aorta, the chyle will appear on the left. Traumatic rupture occurs after accidents or surgery. Of nontraumatic causes, the most common is a malignant lymphoma. Computed tomography (CT) scan of the thorax and upper abdomen should be performed. Lymphography can show where the leakage or blockage is situated. With repeated drains, large amounts of fat, proteins, and lymphocytes are lost. Treatment is with low-fat diet or parenteral nutrition to decrease the amount of chyle, but chemical pleurodesis or ligation of the thoracic duct, usually via thoracoscopy, is often necessary. Pseudochylothorax (cholesterol pleurisy) occurs with long-standing fluid in a fibrotic pleura. The fluid has a high content of cholesterol but no triglycerides or chylomicrons. In both conditions, the pleural fluid is thick, opalescent, whitish or the colour of cafe-au-lait.

Citations

Jul 12, 2002·American Journal of Hematology·Clinton H DoerrSvetomir N Markovic
Dec 17, 2010·Cardiovascular and Interventional Radiology·Steve DesoAli Guermazi
Feb 26, 2004·Annales Françaises D'anesthèsie Et De Rèanimation·P MicheletJ-P Auffray
Jun 21, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sukumaran K NairMartin P Hayward
May 26, 1999·Respirology : Official Journal of the Asian Pacific Society of Respirology·S W Sung, J S Kim
Oct 7, 2000·Respirology : Official Journal of the Asian Pacific Society of Respirology·A McWilliams, E Gabbay
Dec 10, 1999·Klinichna khirurhiia·N S Opanasenko
Jul 27, 2000·Current Opinion in Pulmonary Medicine·S Romero
Apr 23, 2010·Current Opinion in Pulmonary Medicine·Vasileios Skouras, Ioannis Kalomenidis
Jul 5, 2012·American Journal of Physical Medicine & Rehabilitation·Mary E Mamie Air, Janna Friedly
Nov 16, 2010·Respirology : Official Journal of the Asian Pacific Society of Respirology·Jay H RyuFabien Maldonado
Sep 22, 2009·International Journal of Clinical Practice·E E McGrathP B Anderson
Aug 24, 2012·Veterinary Clinical Pathology·Yvonne FischerKatrin Hartmann
Nov 8, 2005·Postgraduate Medical Journal·A R MedfordN Maskell
Jan 11, 2008·Respiration; International Review of Thoracic Diseases·Marios E Froudarakis
Mar 11, 2000·American Journal of Respiratory and Critical Care Medicine·J L FaulT A Raffin
Jul 14, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Emmet E McGrath, Chris Barber
Sep 4, 2010·Annals of Pediatric Cardiology·Sachin TalwarBalram Airan
May 25, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Gustavo Stringel
May 20, 2006·Scandinavian Journal of Infectious Diseases·Yotsapon Thewjitcharoen, Supaporn Poopitaya
Nov 2, 2014·Journal of Cardiothoracic Surgery·Yuan-Jang HsuChien-Kuang Chen
Jan 16, 2008·The American Journal of the Medical Sciences·Vishal Agrawal, Steven A Sahn
Apr 6, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·C J MajoorH F M van der Heijden
May 13, 2005·Chest·Enrique Antón
Apr 20, 2011·Archivos de bronconeumología·Lucía FerreiroLuis Valdés
Jan 5, 2011·La Presse médicale·Anat AmitalYochai Adir
Aug 10, 2010·Clinics in Chest Medicine·Danielle Antin-OzerkisRichard A Matthay
Nov 3, 2009·Paediatric Respiratory Reviews·Manuel Soto-Martinez, John Massie
May 5, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·J Lumbreras Fernández, J I Sánchez Díaz
Oct 2, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Timothy A JacksonPeter Slinger
Jul 13, 2005·Mayo Clinic Proceedings·Clinton H DoerrJay H Ryu
Apr 4, 2015·Internal Medicine·Takaaki MurakamiShogo Oki
Mar 25, 2008·Journal of Pediatric Surgery·Ralph EpaudBrigitte Fauroux
Mar 27, 2001·Journal of Vascular and Interventional Radiology : JVIR·J S PollakJ Murren
May 24, 2006·Clinics in Chest Medicine·Steven A Sahn
Feb 28, 2006·Radiologic Clinics of North America·Juntima EuathrongchitEric J Stern
Mar 18, 2009·Internal Medicine Journal·M H IqbalS Bande
Feb 9, 2012·European Journal of Cancer Care·C-L TengW-L Hwang
Mar 30, 2016·Archivos de bronconeumología·Lucía Zamora MolinaAlejandro Maestro Borbolla
May 12, 2004·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Tomasz M ZiedalskiJohn L Faul
Jun 13, 2006·Seminars in Arthritis and Rheumatism·Alexandra Balbir-GurmanYolanda Braun-Moscovici
Sep 4, 2015·Journal of Community Hospital Internal Medicine Perspectives·Bikash BhattaraiPrakash Kharel
Apr 11, 2014·Journal of the Saudi Heart Association·Sameh R IsmailOmar M Hijazi
Sep 22, 2009·Respiratory Medicine·Emmet E McGrathPaul B Anderson
Jun 2, 2015·Respiratory Medicine Case Reports·Wezi Sendama, Mark Shipley
Nov 29, 2014·Thoracic Surgery Clinics·Andrew Arndt, Daniel J Boffa

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