Delayed Chylothorax during Treatment of Follicular Lymphoma with a Malignant Pleural Effusion

Case Reports in Surgery
Chigozirim N EkekeRajeev Dhupar

Abstract

Chylothorax occurs following dysfunction or disruption of the lymphatic drainage along the thoracic duct. Malignant and traumatic causes account for the majority of these occurrences, with lymphoma accounting for 11-37% of chylothoraces. The clinical course of chylothorax may include dehydration, malnutrition, immunosuppression, electrolyte disturbances, infection, and ultimately death. Management of chylothorax is patient-specific and is based on etiology and surgeon experience. Initially, most chyle leaks are managed with nonoperative strategies, such as gut rest, hyperalimentation, and pleural drainage, and, at times, medium-chained fatty acid diet or octreotide, with hopes to decrease chyle production (Zabeck et al. (2011)). High-output chyle leaks following iatrogenic injury or trauma are commonly managed with thoracic duct ligation. Lymphangiography with or without thoracic duct embolization has become increasingly popular and efficacious with the possible benefit of less morbidity (Cope et al. (2002)). We report a case of a 61-year-old male with delayed chylothorax while having an indwelling pleural catheter for malignant pleural effusion during treatment of follicular lymphoma. Percutaneous thoracic duct embolization wa...Continue Reading

References

Nov 13, 2002·Journal of Vascular and Interventional Radiology : JVIR·Constantin Cope, Larry R Kaiser
Dec 10, 2002·Chest Surgery Clinics of North America·David W Johnstone
Jan 23, 2003·The Annals of Thoracic Surgery·David ShitritMordechai R Kramer
Apr 27, 2005·Asian Journal of Surgery·Sukumar NadesanAli Yaakub Jasmi
Jul 13, 2005·Mayo Clinic Proceedings·Clinton H DoerrJay H Ryu
Sep 22, 2009·Respiratory Medicine·Emmet E McGrathPaul B Anderson
Mar 23, 2011·The Thoracic and Cardiovascular Surgeon·H ZabeckH Hoffmann
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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BETA
biopsy
X-ray

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