Korean J Thorac Cardiovasc Surg.  2004 Aug;37(8):718-721.

Spontaneous Chylothorax Associated with Primary Lymphedema

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center, Korea. ktkim@korea.ac.kr
  • 2Gweon Woo Seog's Varicose Vein Clinic, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Kangwon National University College of Medicine, Korea.

Abstract

Chylothorax is defined as an extravasation of chylous fluid to the pleural cavity due to various causes, and a spontaneous chylothorax associated with primary lymphedema is an exceedingly rare condition. We report a case of the chylothorax associated with lymphedema. A 14-year-old boy was admitted to our hospital for chest pain and dyspnea. He had been on medical treatment for lymphedema and his chest roentgenogram on admission revealed left pleural effusion. The diagnosis of chylothorax was confirmed by chemical analysis of the pleural fluid. The patient was treated successfully by ligation of the thoracic duct using video assisted thoracoscopic technique.

Keyword

Chylothorax; Lymphedema; Thoracoscopy

MeSH Terms

Adolescent
Chest Pain
Chylothorax*
Diagnosis
Dyspnea
Humans
Ligation
Lymphedema*
Male
Pleural Cavity
Pleural Effusion
Thoracic Duct
Thoracoscopy
Thorax
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