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Updated: Jan 23, 2026
07:42
Live Cell Imaging during Mechanical Stretch
Published on: August 19, 2015
11.0K
[Stretching and chylothorax]
B Bottet1, J Melki1, H Levesque2
1Service de chirurgie generale et thoracique, CHU de Rouen, 76000 Rouen, France.
Revue Des Maladies Respiratoires
|June 26, 2019
Summary
A rare case of bilateral chylothorax, a type of pleural effusion, was caused by thoracic duct injury during exercise. Treatment with chest drainage and a fat-free diet resolved the condition.
Area of Science:
- Medical Case Reports
- Thoracic Surgery
- Pulmonology
Background:
- Chylothorax, a rare pleural effusion, typically stems from iatrogenic or medical causes.
- This report details an atypical and infrequent instance of bilateral chylothorax.
Observation:
- A 73-year-old woman presented with acute dyspnea and bilateral pleural effusions.
- Diagnostic imaging confirmed chylothorax, necessitating chest tube drainage and a specialized diet.
- Extensive imaging failed to identify an underlying etiology.
Findings:
- The patient was diagnosed with bilateral traumatic chylothorax, attributed to thoracic duct rupture during stretching exercises.
- Treatment involving chest drainage and a medium-chain triglyceride diet effectively managed the effusions.
- Literature review confirmed similar presentations, supporting the efficacy of the combined treatment approach.
Implications:
- This case highlights a rare, non-iatrogenic cause of traumatic chylothorax.
- Diagnosis of exclusion is crucial, emphasizing the need to rule out medical causes.
- The successful treatment regimen underscores the importance of conservative management for similar cases.
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