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Forgotten Chemo-Port Leading to Chylothorax: A Rare Presentation
Pradeep Bajad1, Avinash B2, Naveen Dutt3
1All india institute of medical sciences, Jodhpur, rajasthan. Pradeepbajad@gmail.com.
Acta Bio-Medica : Atenei Parmensis
|March 22, 2022
Summary
This case report details a rare instance of chylothorax, a milky pleural effusion, in a patient with treated breast cancer. The effusion resulted from blood clots in major veins caused by a long-term chemo-port, successfully managed with nutritional support.
Area of Science:
- Cardiology
- Thoracic Surgery
- Oncology
Background:
- Chylothorax, a rare pleural effusion, is typically linked to thoracic surgery, trauma, or malignancy.
- Identifying the underlying cause is crucial for effective management.
Observation:
- A middle-aged woman with a history of treated breast cancer developed left-sided chylothorax.
- The chylothorax was secondary to thrombosis of the subclavian vein and superior vena cava.
- A long-standing indwelling chemo-port in the right internal jugular vein was identified as the cause of the thrombosis.
Findings:
- The patient's chylothorax resolved completely following management with total parenteral nutrition (TPN).
- This case highlights an uncommon etiology of chylothorax related to chemo-port complications.
Implications:
- This case underscores the importance of considering chemo-port related venous thrombosis in patients presenting with chylothorax.
- Total parenteral nutrition can be an effective management strategy for chylothorax in select cases.
- Further research into the prevention and management of chemo-port associated venous complications is warranted.
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