Document Detail

A rare case of lumbar vertebral lymphangioma presenting as chylothorax.
MedLine Citation:
PMID:  19243995     Owner:  NLM     Status:  MEDLINE    
BACKGROUND CONTEXT: The lumbar lymphangioma occurs rarely. Several studies have presented cases with the involvement of multiple vertebrae in presence or absence of the other bones and/or adjacent soft tissue. We elucidate a rare case of lumbar lymphangioma which presents as chylothorax. PURPOSE: To report a rare case of lumbar lymphangioma presenting as chylothorax. STUDY DESIGN: A case report. METHODS: A 32-year-old man was admitted with lumbar and chest pain. Lumbar plain radiography, computed tomography (CT) scan and magnetic resonance imaging revealed L2 vertebra's sclerosis and destruction with canal compression leading up to vertebral lymph/hemangioma impression. Chest radiograph revealed a left-sided pleural effusion that further examination confirmed the chylothorax. Because of medical treatment failure in managing the chylothorax, surgical exploration was performed on. The involved vertebra was resected and stabilized with a mass ligation of its adjacent soft tissues. Histopathologic study of the resected material confirmed the diagnosis of lymphangioma. Serial plain radiography and CT scan were performed at postoperative follow-up. RESULTS: Following up assessments showed that the chylothorax resolved. Also, the pain significantly relieved. CONCLUSION: To the authors' knowledge, this is a unique reported case of lymphangioma affecting lumbar vertebral body presenting as chylothorax. Further observation is recommended because of the possibility of local recurrence.
Ali Sadrizadeh; Hamid Etemad Rezaie; Ehsan Soltani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-24
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  9     ISSN:  1878-1632     ISO Abbreviation:  Spine J     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-22     Completed Date:  2009-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1-5     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Qaem University Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
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MeSH Terms
Bone Neoplasms / complications*,  pathology,  surgery
Chylothorax / etiology*
Decompression, Surgical
Lumbar Vertebrae / pathology*,  surgery
Lymphangioma / complications*,  pathology,  surgery
Magnetic Resonance Imaging
Neurosurgical Procedures
Tomography, X-Ray Computed

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