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Simón Adiego Carlos - - 2011
We review incidence, etiology, diagnosis, prevention and treatment of the following complications of pulmonary resection: prolonged air leak, subcutaneous emphysema, residual pleural spaces, early bronchial stump dehiscence, bleeding, pleural empyema, bronchopleural fistula, esophagopleural fistula, chylothorax, cardiac herniation, pulmonary torsion, postpneumonectomy syndrome, nerve injuries and tumor embolism.
Relevancy Score: Relevancy Score: 195
Ma Lin - - 2010
A 26-year-old Asian male was found to have chyle leakage from the port incision after video-assisted thoracoscopic surgery (VATS) for excision of pulmonary bullae. The diagnosis was confirmed by oral intake of Sudan black and by lymphoscintigraphy. The leakage resolved after 5 days of restricted oral intake and total parenteral ...
Relevancy Score: Relevancy Score: 194
Koide Y - - 1996
Indications of rethoracotomy after esophagectomy for esophageal cancer are reviewed in this paper. Hemothorax, pneumothorax, pyothorax and chylothorax are the main causes of rethoracotomy. Complications indicating rethoracotomy are summarized as follows: 1) Hemothorax; emergency rethoracotomy is indicated in cases of bleeding through the chest drain over 100ml/hr, which is continuing ...
Relevancy Score: Relevancy Score: 194
Drewniak Michelle A - - 2013
Background: The purpose of this study was to compare 2 methods (syringe and spoon methods) of removing the fat from the low-fat milk portion and compare 3 methods (refrigerated centrifuge, nonrefrigerated centrifuge, and refrigeration method) of separating breast milk into the fat and low-fat milk components. Methods: Human milk was ...
Relevancy Score: Relevancy Score: 194
Gupta Ruchi - - 2009
Ovarian neoplasms account for only 1% of all tumors in girls below the age of 17 years, and among these, malignant epithelial ovarian tumors are even more uncommon. We would like to report a case of ovarian epithelial malignancy presenting at 11 years of age with extensive peritoneal dissemination. The ...
Relevancy Score: Relevancy Score: 189
Johnson Thomas J - - 2010
Extravasation of total parenteral nutrition (TPN) delivered via central lines is a known potential complication, but significant extravasations of infusate into the pleural space when using peripherally inserted central catheters (PICCs) have not been reported in adults. We report 2 cases ofpleural cavity extravasation ofTPN delivered via a PICC. Measurement ...
Relevancy Score: Relevancy Score: 189
Deist T J - - 2001
Chylothorax and chylascites are rare complications of neoplasm or surgical, but also non-surgical trauma. Extremely rare causes are a subclavian i.v. line, a mesenterical hamartoma, retrosternal goiter, liver cirrhosis, portal vein thrombosis, filariasis, tuberculosis, ruptured aortic aneurysm and radiotherapy. We report on a 60-year-old male with bilateral chylothorax and chylascites ...
Relevancy Score: Relevancy Score: 188
Kandakure Pramod Reddy - - 2010
We describe the technique of Kawashima repair without using cardiopulmonary bypass in 6 consecutive patients of single ventricle morphology with interrupted inferior vena cava and pulmonary stenosis. No patient had central nervous system disorder or chylothorax. The off-pump technique is feasible in Kawashima repair. This technique avoids use of cardiopulmonary ...
Relevancy Score: Relevancy Score: 185
Saidi F - - 1991
Many thoracic surgeons have expressed concern about the complications inherent in transhiatal esophagectomy without thoracotomy. The technique of endothoracic endoesophageal pull-through uses a mucosal coring of normal esophagus beyond the tumor and leaves a muscular tube through which the substitute organ is passed. Mediastinal hemorrhage, tracheal injury, and chylothorax are ...
Relevancy Score: Relevancy Score: 185
Staiger Benjamin A - - 2011
To-determine the feasibility of a single paracostal abdominal approach for thoracic duct ligation (TDL) and cisterna chyli ablation (CCA) in dogs with chylothorax. Observational study and prospective case series. Normal dogs (n = 5) and dogs with chylothorax (n = 8). A single paracostal approach with transdiaphragmatic extension for TDL ...
Relevancy Score: Relevancy Score: 185
Watanabe Kanako - - 2005
We report successful anesthetic management of a 1.7-kg premature infant who underwent thoracoscopic thoracic duct ligation under general anesthesia. She was born at 30 weeks gestation with birth weight of 1,546 g and was suffering from respiratory distress due to persistent right chylothorax for two months after birth. Chest tube ...
Relevancy Score: Relevancy Score: 185
Picone Olivier - - 2004
OBJECTIVE: The purpose of this study was to evaluate perinatal outcome after thoracoamniotic shunting for fetal pleural effusions with hydrops. STUDY DESIGN: This was a retrospective study. RESULTS: Shunting was performed immediately after diagnosis and was successful in all 54 of the cases that were attempted. There were 7 pregnancy ...
Relevancy Score: Relevancy Score: 185
Girotra Mohit - - 2013
Abstract Background and Study Aims: The study of lymph as a biofluid is lacking because of absence of a safe site and technique for lymph acquisition. Injury to the thoracic duct during surgery is known to cause chylothorax. The aim of this interventional study was to puncture the thoracic duct ...
Relevancy Score: Relevancy Score: 185
Bellini C - - 2012
This retrospective study was carried out at eight Neonatal Intensive Care Units (NICU) Centers worldwide on 33 newborns presenting at birth with pleural, pericardial, or abdominal chylous effusions. Diagnosis of chylous effusion is based on findings of fluid with a milk-like appearance, a concentration of triglycerides in pleural effusion >1.1 ...
Relevancy Score: Relevancy Score: 185
Ohno K - - 1989
Of the patients who underwent surgical treatment for the respiratory system at our hospital over the past 9 years, 6 were postoperatively complicated with chylothorax, 1 with liquorrhea and the other one with paraplegia. Chylothorax occurred after mediastinal lymph node dissection which was carried out for the treatment of malignant ...
Relevancy Score: Relevancy Score: 184
Smeak D D - - 2001
OBJECTIVE: To describe complications and outcome associated with chronic nonseptic pleural effusion treated with pleuroperitoneal shunts in dogs. DESIGN: Retrospective study. ANIMALS: 14 dogs. PROCEDURE: Medical records at 4 veterinary schools were examined to identify dogs with chronic nonseptic pleural effusion that were treated by use of a pleuroperitoneal shunt ...
Relevancy Score: Relevancy Score: 184
Ryu Jay H - - 2011
Although infections, malignancies and heart failure are responsible for the majority of pleural effusions, there are many other causes and several uncommon but distinctive types of pleural fluid. For this update we have chosen several uncommon forms of pleural effusions or disorders in which there have been recent advances in ...
Relevancy Score: Relevancy Score: 184
DeHart M M - - 1994
Lymphatic complications are uncommon after spinal surgery. Postsurgical collections of lymph may result in chyloma, chylothorax, chylous ascites, or chyloretroperitoneum. Recommended treatment of chylothorax or chylous ascites includes drainage, and a low-fat diet using medium-chain triglyceride or total parenteral nutrition. The only reported case of chyloretroperitoneum concluded with a recommendation ...
Relevancy Score: Relevancy Score: 184
Allison Stephen - - 2013
Lymphangiography and percutaneous embolization has been described for the treatment of thoracic duct injury, usually occurring in the postsurgical period. We report a case of a traumatic gunshot-induced massive chylothorax. Inguinal lymphangiogram was performed demonstrating the site of injury at the cisterna chyli. The cisterna chyli was successfully accessed via ...
Relevancy Score: Relevancy Score: 184
Liu Y Y - - 1999
We report a case of pulmonary alveolar-septal amyloidosis associated with chylothorax and paraproteinemia initially presenting as congestive heart failure with unilateral pleural effusion. A 72-year-old man was initially diagnosed with congestive heart failure based on the correlation of clinical manifestation and chest radiography. Concentric left ventricular hypertrophy with mild hypokinesis ...
Relevancy Score: Relevancy Score: 184
Berner A - - 1997
BACKGROUND: Lymphangioleiomyomatosis is a rare condition in women of childbearing age that affects the lymphatic system, giving rise to blockage of the thoracic duct with chylothorax and chyloascites. The diagnosis is often delayed because the characteristic muscular proliferation may be missed by the pathologist. CASE: A 29-year-old female presented with ...
Relevancy Score: Relevancy Score: 184
Kamiya Kinji - - 2009
Intraoperative indocyanine green (ICG) lymphography was performed on a 62-year-old man, who was diagnosed to have chylothorax after an esophagectomy for esophageal cancer. After exploration of the thorax, a slowly increasing effusion was identified in the mediastinal space above the diaphragm, but the exact site of the lymph fistula could ...
Relevancy Score: Relevancy Score: 184
Miyazaki Tatsuya - - 2013
We reviewed the indications for re-thoracotomy after esophagectomy for esophageal cancer. Hemothorax, chylothorax, tracheobronchial injury (fistula), pneumothorax, and pyothorax were the main causes of re-thoracotomy. Indications for emergency thoracotomy were as follows. 1)Hemothorax:bleeding through the chest drain continuing at >100 ml/hour for ≥5 hour, or in cases when normal blood ...
Relevancy Score: Relevancy Score: 184
Ruehm S G - - 2001
Magnetic resonance (MR) lymphography was performed in five healthy volunteers and three patients (two adults and one infant). Subcutaneous administration of gadoterate meglumine in the foot allowed visualization of draining lymph vessels and nodes. In one patient, an inguinal fluid collection could be characterized as a lymphocele. In the infant, ...
Relevancy Score: Relevancy Score: 182
Jacquemard F - - 1991
We report a case of abdomino-thoracic oesophageal duplication revealed by prenatal ultrasonography as a liquid mass in the posterior mediastinum, responsible for a major chylothorax. Tow our knowledge, this is the first thoroughly documented case occurring in the prenatal period. The various possible ultrasonographic diagnoses and the possibility of therapeutic ...
Relevancy Score: Relevancy Score: 182
Fernandez Felix G - - 2009
Mediastinal granulomatous disease with resulting fibrosis is known to cause several serious complications, including pulmonary artery occlusion, bronchial stenosis, superior vena cava syndrome, and constrictive pericarditis. This process is typically the result of an excessive fibrogenic response to the antigen of the fungus Histoplasma capsulatum. We present a case of ...
Relevancy Score: Relevancy Score: 182
González R - - 1994
A chyliform (pseudochylous) effusion is an uncommon disease entity which develops after an exudative effusion is in situ for a long time. It is commonly initiated by a tuberculous pleurisy and it is important to exclude the presence of active tuberculosis. We present a case with the characteristic features. Chylothorax ...
Relevancy Score: Relevancy Score: 182
Bracha Shay - - 2009
A 9-year-old Bouvier des Flandres was presented with coughing, lethargy, chylous pleural effusion, and a heart murmur. An echocardiogram revealed the presence of an intracardiac mass causing right ventricular outflow tract obstruction. The mass was successfully removed surgically, using total inflow occlusion. Histopathology and immunohistochemistry identified the tumor as an ...
Relevancy Score: Relevancy Score: 182
Kyle Kristy N - - 2010
Chylothorax secondary to chronic lymphocytic leukemia (CLL) was diagnosed in a feline leukemia virus (FeLV)-positive 8-year-old castrated male domestic shorthair feline. The leukemia resolved following therapy with chlorambucil, prednisone, cyclophosphamide, doxorubicin, and lomustine. To our knowledge, this is the first reported case of CLL in an FeLV-positive cat. Although a ...
Relevancy Score: Relevancy Score: 182
Noone K E - - 1985
There are four factors that govern fluid movement to or from the pleural space: hydrostatic pressure, colloid osmotic pressure, filtration coefficient, and lymphatic function. When any of these factors are altered, fluid accumulates within the pleural space. Congestive heart failure, pancreatitis, neoplasia, hypoalbuminemia, and pulmonary thromboembolism can evoke pleural effusions ...
Relevancy Score: Relevancy Score: 182
Ro Pamela S - - 2005
Superior vena cava (SVC) obstruction is a rare entity in the pediatric population. It usually presents in association with either previous cardiac surgery or external compression from a neoplasm. We present the case of an infant born with congenital SVC obstruction and significant bilateral chylothorax and anasarca necessitating mechanical ventilation. ...
Relevancy Score: Relevancy Score: 182
Valmary J - - 1988
Yellow nail syndrome is characterized by a yellow discolouration of the nails associated with idiopathic lymphoedema and pleuropulmonary manifestations. Pleural effusions are usually of the exudate type with a normal lipid content. The case reported here of a 74-year old man who had yellow nails together with chylothorax and chylous ...
Relevancy Score: Relevancy Score: 182
Römer S - - 2006
Agenesis of the superior vena cava is a rare anomaly that is generally asymptomatic in the neonate. We report a male neonate with bilateral (total) agenesis of the superior vena cava with obstructed thoracic duct and subsequent congenital hydrothorax, anomalies that were detected by prenatal ultrasound at 25 weeks' gestation. ...
Relevancy Score: Relevancy Score: 182
Okita Y - - 1988
A 7 year old boy with single ventricle with pulmonary stenosis underwent a modified Fontan procedure. He had a very stormy postoperative course complicated by continued pleural effusion, hepatomegaly, and chylothorax. He eventually died after an atrial septum reopening. At autopsy, massive thrombi were found in the inferior vena cava, ...
Relevancy Score: Relevancy Score: 182
Stambolis C - - 1975
Generalized lymphangiomyomatosis with diffuse pulmonary involvement was diagnosed at post-mortem of a 26-year-old woman. The disease occurs only in women, during or after their reproductive phase, with chylous effusion, especially chylothorax, dyspnoea and chronic progression. It is a multitopic condition starting with a focal lesion, which has its origin in ...
Relevancy Score: Relevancy Score: 182
De Santis Michele - - 2010
Thoracic duct cysts of the mediastinum are extremely rare. The etiology is related to a congenital or degenerative weakness in the wall of the thoracic duct. Symptoms may arise from compression of adjacent structures. Surgical resection is recommended and allows a definitive histological diagnosis. Postoperative chylothorax is the most frequent ...
Relevancy Score: Relevancy Score: 182
Fezoulidis I - - 1986
Two cases with the diagnosis of asymptomatic chylopericard were evaluated. One was a 20-year old girl who had been operated on for intrathoracic lymphangioma and chylopericardium that existed since birth, and who developed a chylothorax after the operation. The second case report concerns a 22-year old man who had been ...
Relevancy Score: Relevancy Score: 182
Merchant R N - - 1985
We describe a subject with lymphangioleiomyomatosis who presented with chylothorax but who had an otherwise normal chest radiograph. The diagnosis was established by means of whole-body computerized tomographic scanning, which demonstrated asymptomatic involvement of the lungs, lymphatics, and kidneys. This diagnostic modality offers the potential for noninvasive serial monitoring of ...
Relevancy Score: Relevancy Score: 182
Bykov S A - - 1989
The experience in using radiolymphography in the diagnosis of central lymph dynamics disorders in thoracic duct pathology has been analysed. For the first time in Soviet literature we encounter two observations over the state of lymph dynamics along the thoracic duct by means of lymphoscintigraphy with colloid 113mIn in patients ...
Relevancy Score: Relevancy Score: 182
Felz M W - - 1997
A left-sided pleural effusion is an infrequent clinical occurrence compared with bilateral or right-sided effusions. After coronary bypass surgery, a patient presented with dyspnea and an enlarging left pleural effusion erroneously attributed to congestive heart failure and refractory to medical management. Thoracentesis generated a clinical surprise, allowed specific therapy, and ...
Relevancy Score: Relevancy Score: 182
Cöplü L - - 1992
Chylothorax and chylopericardium secondary to thrombosis of the superior vena cava and the innominate and subclavian veins were diagnosed in a patient with Behçet's syndrome. Immunosuppressive treatment, diet, and underwater seal drainage led to a diminished volume of pleural fluid and pericardial fluid and to a diminished concentration of triglyceride ...
Relevancy Score: Relevancy Score: 181
Ferreiro Lucía L Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Santiago de Compostela, La Coruña, - - 2014
Pleural involvement in sarcoidosis is uncommon and appears in several forms. To document the incidence and characteristics of pleural effusion in sarcoidosis patients, a review of the cases diagnosed in our centre between January 2001 and December 2012 was carried out. One hundred and ninety-five patients with sarcoidosis were identified; ...
Relevancy Score: Relevancy Score: 179
Tsukihara Ayumi - - 2004
A 29-year-old, primiparous woman was referred to our hospital at 21 weeks of gestation because of right pleural effusion in the fetus shown by routine ultrasonographic examination. Cytology revealed abundant lymphocytes, suggesting chylothorax. We removed the pleural effusion and injected OK-432 into the chest cavity at 24 and 25 weeks ...
Relevancy Score: Relevancy Score: 177
Fujiwara Y - - 1999
Chylothorax is an uncommon but well recognized complication of esophagectomy. We present the case of a 57 year-old man with squamous cell carcinoma of the abdominal esophagus who underwent subtotal esophagectomy by right thoracotomy. Post-operatively, the volume of pleural effusion from the right chest was increased (1600-2000 ml/day). The effusion ...
Relevancy Score: Relevancy Score: 177
Kumar S - - 2004
Thoracic duct injury is a rare but serious complication following chest surgeries and major neck dissections. Clinically, it can present as cervical chylous fistula, chylothorax or chylopericardium. Without treatment, the mortality is up to 50% and thus, early aggressive therapy is indicated. Traditional conservative management includes low-fat diet, parenteral nutrition, ...
Relevancy Score: Relevancy Score: 177
Ayuso-Velasco R - - 2012
INTRODUCTION: Osteolysis of lymphatic origin is a rare disease with a high mortality which is difficult to attribute whether it is due to the disease itself or the therapeutic morbidity. The aim of this study is to review the causes of mortality in our group of patients with osteolysis of ...
Relevancy Score: Relevancy Score: 176
Light Richard W - - 2011
There are many diseases that cause pleural effusions. When a patient with a pleural effusion is first evaluated, one should determine if the patient has a transudate or an exudate. A diagnostic approach to the patient with an undiagnosed pleural effusion is outlined. The most common pleural effusions including those caused ...
Relevancy Score: Relevancy Score: 176
- - 2012
Reoperations were fulfilled on 71 patients (2.73%) after 2576 thoracotomies for diseases and injuries of the chest, rethoracotomies were fulfilled on 34 patients, in 37 patients the interventions were fulfilled endoscopically. The indication for thoracoscopy were continuing intrapleural bleeding, fragmented pleurisy due to pleural empyema, not arrested chylothorax, foreign body ...
Relevancy Score: Relevancy Score: 176
Ozturk A - - 2007
We report magnetic resonance (MR) findings in a patient with histologically proven lymphangiomatosis with a history of chylothorax, diffuse lung infiltrates, spinal involvement, cystic lesions of the mediastinum, and mesentery thickening. The patient also had diffuse infiltration of the right brachial plexus, with similar imaging findings as the spinal lesions. ...
Relevancy Score: Relevancy Score: 176
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