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Wilson-Storey D - - 1987
As a result of a traumatic delivery a newborn male child developed thoracic and intra-abdominal problems. Haemoperitoneum and chylous ascites were diagnosed; from a scrotal enlargement secondary to bilateral patent processus vaginalis and a chylothorax became apparent during investigation of the scrotal swellings. We discuss the presentation, diagnosis and management ...
Relevancy Score: Relevancy Score: 214
Kotzot D - - 1994
We report a 27-year-old Caucasian woman with Jaffe-Campanacci syndrome. She presented with multiple café-au-lait spots and multiple non-ossifying fibromata of the bones, noted on radiographs and proven by tissue biopsies. Only the left side was involved. She also suffered from moderate scoliosis, stenosis of the aortic isthmus, chylothorax, and a ...
Relevancy Score: Relevancy Score: 214
Crosthwaite G L - - 1995
Thoracotomy has long been the conventional surgical approach in dealing with chylothorax due to thoracic duct injury which has been refractory to conservative treatment. The development of thoracoscopic access provides an alternative means of dealing with thoracic duct injuries thereby reducing the morbidity from thoracotomy and prolonged chylous leak. It ...
Relevancy Score: Relevancy Score: 214
Ascenzi Judith A - - 2007
Management of the pediatric patient after congenital heart disease surgery requires a multidisciplinary team approach. All members of the team must understand the risk factors, pathophysiology, and management of common postoperative problems such as low cardiac output, pulmonary hypertension, and chylothorax to assure early recognition and intervention.
Relevancy Score: Relevancy Score: 214
Christ R - - 1978
Today there are still difficulties by differentiating of chylous pleural effusions. It is reported about two forms of chylothorax which are different in their etiology. The chyle were examined with regard to the fats. It can be shown that the thin-layer chromatography of lipids makes possible a rapid diagnostics of ...
Relevancy Score: Relevancy Score: 214
Ampil F L - - 1993
We present a case of chylous effusion (CE) occurring in a patient with chronic lymphocytic leukemia (CLL), an observation which has rarely been reported. Therefore, CLL should be added to the differential diagnosis of nontraumatic chylothorax. CE in CLL can be successfully managed by irradiation of the mediastinum.
Relevancy Score: Relevancy Score: 214
Casaccia M - - 1988
The principal types of reflux of chyle are reviewed in relation to the different pathological localizations at which it may occur, these including chylothorax, chylopericardium, chyloperitonitis, chylous ascites, exudative enteropathies, chyluria, genital chyledema and chylometrorrhea and chylocele, etc. A new approach to therapy of these conditions has been provided by ...
Relevancy Score: Relevancy Score: 214
Berger J L - - 1981
A case of pulmonary lymphangioleiomyomatosis is reported and the computed tomographic findings are described. The disease is characterized by chylous pleural effusions, a reticulonodular pattern, and the development of air trapping with bullous formation. Computed tomography is useful in demonstrating the early presence of these bullae and in excluding a ...
Relevancy Score: Relevancy Score: 214
Beck P H - - 1979
We present 4 patients with serious complications after retroperitoneal lymphadenectomy. Chylothorax developed in the first patient; hypertension, blindness, and paralysis of the lower extremities in the second; volvulus and necrosis around an adhesion in the right upper quadrant in the third; and small-bowel obstruction and radiation myelitis in the fourth ...
Relevancy Score: Relevancy Score: 214
Christ R - - 1978
The appearance of a spontaneous chylothorax is a rare case-taking. Chylous effusions are a cardinal symptom of the angioleiomyomatosis of the lungs. Symptomatics and diagnostics of this very rare disease occuring only in women are described by means of one casuistics. Referring to about 60 cases described in literature the ...
Relevancy Score: Relevancy Score: 214
Hanssler L - - 1990
We describe a case of primary lymphatic dysplasia in a newborn, presenting with lymphedema, chylothorax, and chylous ascites. Malfunction of the lymphatic system, which is supposed to cause this rare disorder, could also be responsible for a number of cases of non-immunologic hydrops fetalis.
Relevancy Score: Relevancy Score: 214
Diamond Joshua M - - 2010
A 73-year-old woman with a history of paroxysmal atrial fibrillation, sinus node dysfunction, bilateral breast cancer, and extensive chest radiation developed progressive edema, dyspnea, and recurrent pleural effusions soon after single-chamber pacemaker implantation. Thoracentesis yielded a diagnosis of chylothorax, and progressive refractory anasarca developed. A computed tomography angiogram suggested obstruction ...
Relevancy Score: Relevancy Score: 213
Koo Kevin Sh - - 2010
We report what is to the best of our knowledge the second adult case of chylothorax clearly associated with severe hypothyroidism in the English-language medical literature. To the best of our knowledge, this is the first case of its kind reported without a prior history of malignancy. A 37-year-old Hispanic ...
Relevancy Score: Relevancy Score: 212
Cope C - - 1998
PURPOSE: To assess the feasibility of percutaneous transabdominal puncture and catheterization of the cisterna chyli or lymphatic ducts (PTCLD) in patients with postoperative chyloperitoneum and chylothorax, and to identify and possibly embolize the chylous fistula. MATERIALS AND METHODS: Five patients had postoperative uncontrolled chyle fistulas. Two patients with chylothorax had ...
Relevancy Score: Relevancy Score: 210
Wang I-Jen - - 2002
Superior vena cava (SVC) syndrome rarely responds to conservative treatment. We report the case of a 2-month-old boy with SVC syndrome and bilateral chylothorax after surgical repair of the hemitruncus. Medical management with low-dose heparin, dipyridamole, and aspirin resulted in improvements of head swelling and chylothorax. The chyle had disappeared ...
Relevancy Score: Relevancy Score: 209
Vasu V - - 2010
Neonatal chylothorax is a relatively uncommon condition. Here we describe the case of an extremely preterm infant with bilateral chylous effusions which were resistant to conventional medical management and were ultimately managed with the insertion of pleuroperitoneal shunts using a novel surgical technique. Subsequently the infant recovered and the shunts ...
Relevancy Score: Relevancy Score: 209
Ching Kevin C - - 2013
Lymphangiography and thoracic duct embolization are well-described techniques for the diagnosis and treatment of thoracic lymphatic leaks refractory to conservative treatment. However, thoracic duct embolization is not an option in patients with abdominal chylous leaks. The present report describes a 68-year-old man who underwent an aortomesenteric bypass complicated by a ...
Relevancy Score: Relevancy Score: 209
Zanella A - - 1996
The main problem in the treatment of pulmonary lymphangioleiomyomatosis, which frequently occurs in the reproductive age, is the control of chylothorax and disease progression. We herein report a case of a 62-year-old woman who underwent surgery for recurrent chylothorax. Histologic examination of lung and lymph node biopsies demonstrated lymphangioleiomyomatosis. Thirty-six ...
Relevancy Score: Relevancy Score: 209
Rocha Gustavo - - 2006
INTRODUCTION: Pleural effusions are rare in the neonate and may be associated to several clinical conditions. Only a few series of pleural effusions in the fetus and newborn are described in the literature. AIM: This study was undertaken to determine more accurately the causes and prognostic significance of pleural effusions ...
Relevancy Score: Relevancy Score: 207
Mathur Deepan D 1Pediatric Pathology, Department of Pathology, - - 2014
Noonan Syndrome is an autosomal dominant disorder characterized by short stature, congenital heart defects, developmental delay, dysmorphic facial features and occasional lymphatic dysplasias. The features of Noonan Syndrome change with age and have variable expression. The diagnosis has historically been based on clinical grounds. We describe a child that was ...
Relevancy Score: Relevancy Score: 207
Duffy Bethany M - - 2005
Gorham's disease, also known as vanishing bone disease or massive osteolysis, is a rare disorder of uncertain etiology. It is characterized by uncontrolled proliferation of vascular or lymphatic capillaries within bone, leading to resorption and replacement with angiomatous tissue. It can be complicated by chylous pericardial and pleural effusions, which ...
Relevancy Score: Relevancy Score: 207
Chan R M - - 1984
Nontraumatic chylopericardium without chylothorax is rare. We describe a patient with chylopericardium associated with intravenous drug addiction. To our knowledge, this association has not been reported previously. The patient underwent total pericardiectomy and had had no recurrence 24 months after surgery.
Relevancy Score: Relevancy Score: 204
Medoff-Cooper Barbara - - 2010
In the United States of America, approximately 40,000 infants are born annually with congenitally malformed hearts. Children with defects that require complex surgical palliation, or definitive repair, face many challenges in achieving optimal short-term and long-term growth. The presence of associated chromosomal abnormalities, cyanosis, and cardiac failure adds to the ...
Relevancy Score: Relevancy Score: 204
Neath P J - - 2000
OBJECTIVE: To identify breed disposition, postoperative complications, and outcome in dogs with lung lobe torsion. DESIGN: Retrospective study. ANIMALS: 22 client-owned dogs. PROCEDURE: Information on signalment; history; clinical findings; results of clinicopathologic testing, diagnostic imaging, and pleural fluid analysis; surgical treatment; intra- and postoperative complications; histologic findings; and outcome were ...
Relevancy Score: Relevancy Score: 204
Praveen Alampath - - 2012
Thoracic duct embolization (TDE) is an established radiological interventional procedure for thoracic duct injuries. Traditionally, it is done under fluoroscopic guidance after opacifying the thoracic duct with bipedal lymphangiography. We describe our experience in usinga heavily T2W sequence for guiding thoracic duct puncture and direct injection of glue through the ...
Relevancy Score: Relevancy Score: 202
Lauridsen P - - 1979
An 11-year-old girl with anomalous pulmonary venous drainage from the left lung to the right atrium was corrected by anastomosing the anomalous trunk to the left auricular appendage. Postoperatively she developed a left-sided chylothorax which resolved on medical treatment. A postoperative angiocardiography one year after surgery showed a well-functioning anastomosis.
Relevancy Score: Relevancy Score: 200
Suri Deepti - - 2009
We report on a 4-year-old girl with steroid-resistant nephrotic syndrome who presented with life-threatening chylopericardial tamponade with chylothorax secondary to superior vena cava thrombosis. This is the first case report of this complication in a child. We outline the treatment, which included emergency pericardiocentesis and thoracostomy, parentral anticoagulation and dietary ...
Relevancy Score: Relevancy Score: 200
Negre E - - 1977
Over a 15 year period, the authors operated upon 650 patients suffering from carcinoma of the oesophagus. Amongst them, 185 underwent pre-operative irradiation. The latter appears to increase the percentage in whom excision was possible. By contrast, the occurence rate of postoperative complications is essentially the same in both groups ...
Relevancy Score: Relevancy Score: 200
Arndt Andrew A Thoracic Surgery, Yale New Haven Hospital, New Heaven, CT 06510, - - 2015
Lung transplantation represents a life-saving option for some end-stage lung diseases. Despite the magnitude of anatomic manipulation and the fragility of the patient population, the procedures have become progressively safer. Perioperative morbidity, however, remains high. Pleural space complications are particularly common. This article discusses hemothorax, chylothorax, air leak or pneumothorax, ...
Relevancy Score: Relevancy Score: 200
Schumacher Kurt R KR University of Michigan C.S. Mott Children's Hospital, Ann Arbor, - - 2014
The onset of plastic bronchitis (PB) can be debilitating in survivors of Fontan surgery. The rarity of this complication makes designing studies to understand risk factors for PB challenging. This 2-center case-control study aimed to describe patient outcomes and to assess the association of antecedent patient factors with PB development. ...
Relevancy Score: Relevancy Score: 198
Farnsworth R - - 1996
A 3.5-year-old female German Shepherd Dog developed subcutaneous accumulation of chyle in a hind limb after ligation of the thoracic duct for treatment of chylothorax. Lymphangiography revealed severe lymphangiectasia in the abdomen and left inguinal region. Although the pleural effusion resolved, the subcutaneous accumulation of chyle continued even after medical ...
Relevancy Score: Relevancy Score: 195
Brøyn T - - 1990
Recurrent pleural effusion is often a problem in metastases from breast cancer, and may be treated by instillation of irritating drugs combined with external drainage for some days. Less frequently chylothorax is a complication to malignant disease. Drainage of the pleural effusion to the peritoneum is possible, and this article ...
Relevancy Score: Relevancy Score: 195
Tomić Ilija - - 2003
This paper presents 4 patients with chylothorax, and one patient with bilateral chylothorax and chyloperitoneum. The chylous effusions were of benign etiology, developed as a complication of miliary tuberculosis (1 patient), after L-2 vertebral body fracture (1 patient), and idiopathic (2 patients). The diagnosis was confirmed by the presence of ...
Relevancy Score: Relevancy Score: 195
Chen Eric - - 2011
Chylous leaks, such as chylothorax and chylopericardium, are uncommon effusions resulting from the leakage of intestinal lymphatic fluid from the thoracic duct (TD) and its tributaries, or intestinal lymphatic ducts. The cause can be either traumatic (thoracic surgery) or nontraumatic (idiopathic, malignancy). Treatment has traditionally consisted of dietary modification (nonfat ...
Relevancy Score: Relevancy Score: 195
Hughes E - - 1987
A 32-year-old primigravida presented with cough and dyspnea at 16 weeks' gestation. Chest roentgenogram revealed a large pleural effusion and diffuse interstitial infiltrates. Moderate arterial hypoxemia and a significant reduction in vital capacity were present. Thoracentesis revealed sterile chyle with no evidence of malignancy. Spontaneous delivery of a healthy infant ...
Relevancy Score: Relevancy Score: 195
Foresti V - - 1990
We report on a male patient with tuberous sclerosis (adenoma sebaceum and digital fibromas, renal angiomyolipomas and subependymal brain calcifications), who presented with chylothorax. Chest CT scan did not show pulmonary parenchymal alterations, but only a moderate enlargement of the paracaval mediastinal lymph nodes. Tuberous sclerosis with lung involvement presents ...
Relevancy Score: Relevancy Score: 195
Swelstad Matthew Reed - - 2003
Gorham's Syndrome, also known as massive osteolysis or "vanishing bone disease" results from lymphangiomatosis with adjacent bone resorption. Chylothorax is a common complication in cases of mediastinal involvement. We report a case of Gorham's Syndrome presenting as chylotamponade successfully treated with pericardial drainage, early parenteral nutritional support, bilateral pleurodesis for ...
Relevancy Score: Relevancy Score: 194
Itkin Maxim - - 2011
Chylothorax is an uncommon complication of cardiothoracic surgery in children that is traditionally treated with either conservative (diet modification, octreotide administration, and percutaneous drainage) or surgical (thoracic duct ligation, pleurodesis, and pleuroperitoneal shunt) approaches. We report here the cases of 2 children (a 6-month-old and a 1-month-old) with postoperative chylous ...
Relevancy Score: Relevancy Score: 194
Favre R - - 1990
Two clinical cases of fetal hydrops are discussed: one of them was caused by diffuse lymphangiectasis and the other was idiopathic. A review of recent literature regarding the management of non-immunological hydrops is presented and gives hope for a new therapeutic approach to fetal hydrops especially in cases of chylothorax. ...
Relevancy Score: Relevancy Score: 194
Chakrabarti Nandini - - 2012
Pulmonary lymphangioleiomyomatosis (LAM) is a rare disorder presenting with remarkable features like recurrent pneumothorax or chylothorax, usually in young women. We report a case of sporadic LAM who presented with nothing but recent onset exertional dyspnoea and it was this unobtrusive presentation that led to delay in diagnosis.
Relevancy Score: Relevancy Score: 194
Bose Amal K - - 2010
We present a fascinating case of major penetrating trauma to the chest which resulted in a successful outcome. Often such trauma is associated with a poor outcome due to injury to the heart, lungs or major blood vessels with subsequent massive blood loss, pnuemothorax or haemo-pneumothorax. Late complications include infection ...
Relevancy Score: Relevancy Score: 194
Möllmann D - - 1990
Lymphangiomyomatosis (LAM) is a rare disease that occurs predominantly in women of reproductive age. We report on a 17-year old female patient with chylothorax and smooth muscle proliferation of lymphatic vessels in the retrocrural, retroperitoneal and mesenteric space. Radiological procedures and especially computerized tomography proved particularly suitable for detecting abdominal ...
Relevancy Score: Relevancy Score: 194
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: 194
Arayici Sema - - 2013
Chemical pleurodesis with povidone-iodine has been used to treat congenital idiopathic chylothorax in neonates. We report successful use of povidone-iodine in an extremely premature infant to treat a pneumothorax that had persisted for more than one week despite high-frequency ventilation.
Relevancy Score: Relevancy Score: 194
Shetty Sandeep Krishnanand - - 2011
A premature neonate who developed respiratory distress in the first few days of life was found to have a pleural effusion, which reaccumulated following drainage. The effusion was demonstrated to be a chylothorax. He required multiple chest drains and was started on a medium chain triglyceride formula feed. This brought ...
Relevancy Score: Relevancy Score: 194
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