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Published on: November 30, 2010
Surgical Management of Chyloptysis
Erin A Gillaspie1, Kaiser Lim2, Francis C Nichols3
1Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Abstract:
Chyloptysis is a rare clinical presentation. Diagnosis is challenging and requires recognition of milky-sputum or bronchial casts. We describe a case of chyloptysis secondary to thoracic lymphangiectasia that necessitated surgical ligation of the main thoracic duct and accessory branches. The patient had no postoperative complications, and at 6-month follow-up remained symptom-free. A paucity of literature describes the management of chyloptysis. We review diagnosis, treatment considerations and operative principles.
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