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Tube thoracostomy: One-off cause of chylothorax
Marcio Botter1, Gustavo Yamin2, Raul R Ururahy2
1Thoracic Surgery Department, Irmandade da Santa Casa de Misericórdia de São Paulo, R. Dr. Cesário Mota Júnior, 112 - Vila Buarque, São Paulo 01221-020, SP, Brazil.
Abstract:
Chylothorax secondary to thorax drainage is a rare entity, with only five previously reported cases. A patient that sustained injuries after an accident involving a power tool, originally seen at another service, presented with a metal fragment embedded in the 4th intercostal space of the right hemithorax and ipsilateral pneumothorax. The patient underwent thoracic drainage and was referred to our hospital. After one day, the drained fluid became milky and laboratory tests confirmed chylothorax. Videothoracoscopy disclosed compression of the thoracic duct topography by the drainage tube.
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