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Updated: May 31, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Intrapleural streptokinase for the treatment of chylothorax
Yeh Chunn Kuan1, Soon Hin How, Teck Han Ng
1Department of Internal Medicine, International Islamic University of Malaysia, Kuantan, Malaysia. kychunn@yahoo.com
Abstract:
Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleural streptokinase, which improved her condition.
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