Document Detail


Undiagnosed late-onset chylothorax accompanied by fatal acute pulmonary thromboembolism after surgical treatment of lung cancer: an autopsy case and review of the literature.
MedLine Citation:
PMID:  20004127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Late-onset chylothorax is a relatively rare and essentially benign postoperative complication. We describe an autopsy case of undiagnosed hemi-chylothorax accompanied by fatal acute pulmonary thromboembolism after pulmonary resection and lymph node dissection for lung cancer, reviewing the literature. The patient was a 60-year-old woman. She complained of dyspnea on the 20th postoperative day, which gradually increased. The patient suddenly died 2 days later. Autopsy demonstrated right chylothorax (1000 ml), and fatal acute pulmonary thromboembolism, mainly on the left side, originating from the lower extremities. Postoperative chylothorax, causing respiratory and pulmonary circulatory disturbance, may provide an important predisposition to ward fatality due to pulmonary thromboembolism even among those showing a milder type; thus careful management is necessary.
Authors:
Takaki Ishikawa; Tomomi Michiue; Dong Zhao; Li Quan; Dong-Ri Li; Hitoshi Maeda
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-08
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  12     ISSN:  1873-4162     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  35-8     Citation Subset:  IM    
Affiliation:
Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, Osaka 545-8585, Japan. takaki@med.osaka-cu.ac.jp <takaki@med.osaka-cu.ac.jp>
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adenocarcinoma / pathology
Autopsy
Chylothorax / etiology*,  pathology
Fatal Outcome
Female
Humans
Lung Neoplasms / pathology,  surgery*
Lymph Node Excision / adverse effects
Middle Aged
Postoperative Complications
Pulmonary Embolism / etiology*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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