Bilateral chylothorax associated with sclerosing mediastinitis

A 14-year-old female developed a sequential bilateral chylothorax from a complication of idiopathic mediastinal fibrosis. To the best of our knowledge, there has not been a published report of idiopathic mediastinal fibrosis followed by chylothorax. The recurrent bilateral chylothorax was treated successfully with a closed thoracostomy.