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Bilateral traumatic chylothorax.

M P Brook1, D W Dupree

  • 1Department of Emergency Medicine, University of Southern California School of Medicine 90033.

Annals of Emergency Medicine
|January 1, 1988
PubMed
Summary
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A 27-year-old man developed bilateral chylothorax after blunt trauma from a motor vehicle accident. This rare case highlights the importance of considering chylothorax in trauma patients with pleural effusions.

Area of Science:

  • Thoracic Surgery
  • Trauma Surgery
  • Pulmonology

Background:

  • Bilateral chylothorax is a rare condition characterized by the accumulation of chyle in the pleural space.
  • Traumatic injuries, particularly blunt trauma, can lead to chylothorax, though bilateral presentations are uncommon.

Observation:

  • A 27-year-old male presented with dyspnea and bilateral pleural effusions three days post-motor vehicle accident.
  • Tube thoracostomy confirmed chylous drainage, establishing the diagnosis of bilateral chylothorax.
  • Approximately 8 liters of chyle were evacuated during hospitalization.

Findings:

  • The case demonstrates a rare instance of bilateral chylothorax following blunt chest trauma.
  • Diagnosis was confirmed through characteristic chylous fluid drainage via tube thoracostomy.

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  • Significant fluid management was required due to the large volume of chyle removed.
  • Implications:

    • This case underscores the potential for rare complications like bilateral chylothorax after significant trauma.
    • Prompt diagnosis and management are crucial for patient outcomes.
    • Further review of etiology, pathogenesis, and therapeutic strategies for traumatic chylothorax is warranted.