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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Chylothorax caused by acupuncture.

Mami Inayama1, Tsutomu Shinohara, Hiroyuki Hino

  • 1Division of Pulmonary Medicine, National Hospital Organization National Kochi Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|October 18, 2011
PubMed
Summary

Acupuncture can rarely cause chylothorax, a buildup of fatty fluid in the chest. This case highlights the need to consider thoracic duct injury from acupuncture as a potential cause of chylothorax.

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Area of Science:

  • Thoracic Surgery
  • Gastroenterology
  • Integrative Medicine

Background:

  • Chylothorax, characterized by chyle accumulation in the pleural space, typically arises from surgical trauma or malignancy.
  • The lymphatic system's thoracic duct is crucial for fat transport; injury can lead to chylothorax.

Observation:

  • A 37-year-old woman presented with left pneumothorax and pleural effusion post-acupuncture on the neck and upper back.
  • Milky pleural fluid analysis confirmed chyle leakage, indicative of thoracic duct injury.

Findings:

  • Chest tube drainage achieved lung re-expansion.
  • Conservative management, including a low-lipid, medium-chain triglyceride-rich diet, facilitated successful extubation.

Implications:

  • Acupuncture-induced thoracic duct injury is an exceedingly rare but plausible cause of chylothorax.
  • Clinicians should consider this etiology in patients presenting with chylothorax after acupuncture.
  • This case underscores the importance of anatomical awareness during acupuncture procedures.