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Updated: Jan 8, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Dual Chyle Leak: A Case of Chylothorax With Chylous Ascites
Fathimathu Afrah1, Vengadakrishna Krishnamoorthy2, Suja Lakshmanan2,1
1General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Abstract:
Chylothorax is a rare and often insidious disorder, characterised by the accumulation of chyle in the pleural cavity. It results in substantial diagnostic and therapeutic challenges. We report the case of a 56-year-old male with a two-year history of chronic liver disease on treatment, who presented with complaints of breathlessness and abdominal distension for 10 days. Evaluation demonstrated chylothorax, chylous ascites, and a multi-thrombotic state. The underlying etiology was multifactorial, including a thoracic duct leak at the T4-T5 vertebral level. Thoracic duct embolisation was performed, which resulted in a marked reduction in pleural chyle accumulation and significant symptomatic relief.
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