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Updated: Feb 21, 2026

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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
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Recurrent chylothorax: a clinical mystery.
Eva Otoupalova1, Shaiva Ginoya Meka1, Sanjay Dogra2
1Department of Internal Medicine, Beaumont Health System, Royal Oak, Michigan, USA.
BMJ Case Reports
|October 9, 2017
Summary
Recurrent chylothorax, a rare pleural effusion, can be challenging to treat. This case study highlights successful resolution of chylothorax secondary to Waldenstrom's macroglobulinaemia using ibrutinib therapy.
Area of Science:
- Hematology
- Oncology
- Pulmonology
Background:
- Chylothorax, an uncommon pleural effusion, is typically linked to trauma or malignancy.
- Waldenstrom's macroglobulinaemia (WM) is a lymphoproliferative disorder characterized by bone marrow lymphoplasmacytic lymphoma and IgM monoclonal gammopathy.
- Recurrent chylous effusions often prove refractory to conservative management, necessitating surgical intervention.
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