Video Experimental Relacionado
Updated: Jan 8, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
656
Doble Fuga Quilífera: Un Caso de Quilotórax con Ascitis Quilosa
Fathimathu Afrah1, Vengadakrishna Krishnamoorthy2, Suja Lakshmanan2,1
1General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|December 22, 2025
Resumen
El quilotórax, la acumulación de quilo en la cavidad pleural, presenta desafíos diagnósticos. Este informe de caso detalla la exitosa embolización del conducto torácico para un paciente con enfermedad hepática crónica, resolviendo el quilotórax y la ascitis.
Área de la Ciencia:
- Informes de casos médicos
- Cirugía torácica
- Gastroenterología
Sus antecedentes:
- El quilotórax es una afección rara que implica la acumulación de quilo en el espacio pleural.
- Presenta dificultades diagnósticas y terapéuticas significativas.
- La enfermedad hepática crónica puede asociarse con alteraciones complejas de los líquidos.
Objetivo del estudio:
- Informar un caso desafiante de quilotórax.
- Ilustrar el manejo del quilotórax en un paciente con enfermedad hepática crónica.
- Destacar la eficacia de la embolización del conducto torácico.
Principales métodos:
- Un hombre de 56 años con enfermedad hepática crónica se presentó con disnea y distensión abdominal.
- El estudio diagnóstico reveló quilotórax, ascitis quilosa y un estado trombótico.
- Se realizó una embolización del conducto torácico para abordar una fuga del conducto torácico.
Principales resultados:
- El paciente experimentó un alivio sintomático significativo después del procedimiento.
- La acumulación de quilo pleural se redujo marcadamente después de la embolización.
- La intervención manejó con éxito la etiología multifactorial, incluida la fuga del conducto torácico.
Conclusiones:
- La embolización del conducto torácico es un tratamiento eficaz para el quilotórax.
- Este caso subraya la importancia de considerar las fugas del conducto torácico en pacientes con enfermedad hepática y derrames.
- Las etiologías multifactoriales requieren estrategias de manejo integrales.
Videos de Conceptos Relacionados
01:25Pleural Effusion I: Introduction
3.8K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
3.8K
01:16Lymphatic Vessels and Lymph Transport
21.8K
Lymphatic vessels, known as lymphatics, are crucial in transporting lymph from peripheral tissues to our venous system. This process begins with lymph entering through tiny capillaries that branch through tissues. These capillaries have unique features such as larger diameters, thinner walls, and a distinctive one-way valve system formed by overlapping endothelial cells.
This one-way system allows fluids, solutes, and even pathogens to enter but prevents their return to the intercellular...
This one-way system allows fluids, solutes, and even pathogens to enter but prevents their return to the intercellular...
21.8K
01:28Pleural Effusion II: Symptoms and Management
604
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
604
01:26Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
01:27Pneumothorax-II
837
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
837
01:29Chronic Pancreatitis II: Collaborative Care
284
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
284