Non-traumatic chylous effusion in the thorax and abdomen
- PMID: 1190692
Non-traumatic chylous effusion in the thorax and abdomen
Abstract
A female of 31 with chyloascites and bilateral chylothorax is presented. The thoracic duct was obstructed below the diaphragm. The lymph vessels in the left iliac and para-aortic areas were enlarged and there were lymphocysts. When the lymph loss was greatest the patient was in a state of grave malnutrition with marked hypoalbuminaemia and an absolute and relative lymphocytopenia in the blood. "Malignant" cells were demonstrated in the chylous fluid, but no malignancy could be found at laparotomy. It is possible that the cells were confused with immature lymphocytes. The lymphatic cysts were excised and the lymph vessels ligated. Decortication of the right lung was performed. The patient recovered. The follow up time has been over four years.
Similar articles
-
Treatment of symptomatic primary chylous disorders.J Vasc Surg. 2001 Nov;34(5):785-91. doi: 10.1067/mva.2001.118800. J Vasc Surg. 2001. PMID: 11700476
-
Lymphocytopenia with lymph extravasation from abnormal lymphatics: its occurrence with chylous ascites and chylothorax.Lymphology. 1970 Dec;3(4):147-51. Lymphology. 1970. PMID: 5503519 No abstract available.
-
Percutaneous Balloon Plasty for Thoracic Duct Occlusion in a Patient with Chylothorax and Chylous Ascites.Cardiovasc Intervent Radiol. 2019 May;42(5):779-783. doi: 10.1007/s00270-018-02157-7. Epub 2019 Jan 7. Cardiovasc Intervent Radiol. 2019. PMID: 30617452
-
Chylothorax and chylous ascites in a patient with uterine cancer.Jpn J Clin Oncol. 1988 Jun;18(2):175-82. Jpn J Clin Oncol. 1988. PMID: 3288782 Review.
-
[Thoracic duct collaterals of lymphatic and pulmonary origin. Anatomy and chylothorax after pulmonary surgery].Ann Chir. 1989;43(8):646-57. Ann Chir. 1989. PMID: 2686514 Review. French.