Tuberc Respir Dis.  2004 Oct;57(4):377-380.

A Case of Idiopathic Chylothorax and Chyluria

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. shimts@amc.seoul.kr

Abstract

We report a rare case of idiopathic chylothorax and chyluria. A 31 year-old woman was referred to our hospital with a right-sided pleural effusion. Cream-colored pleural fluid and urine were confirmed as chylothorax and chyluria, respectively, by a lipoprotein electrophoresis. Even though she had previously underwent surgery for pelvic fibrosarcoma and experienced its recurrence, there has been no change of mass size and no evidence of thoracic duct or urinary tract obstruction as of the moment. Hence, idiopathic chylothorax and chyluira was diagnosed. Because she responded poorly to conservative treatment, thoracic duct ligation and pleurodesis were performend ; wherease chyluria was resolved spontaneously.

Keyword

Chylothorax; Chyluria; Fibrosarcoma; Pleural effusion

MeSH Terms

Adult
Chylothorax*
Electrophoresis
Female
Fibrosarcoma
Humans
Ligation
Lipoproteins
Pleural Effusion
Pleurodesis
Recurrence
Thoracic Duct
Urinary Tract
Lipoproteins
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