Yeungnam Univ J Med.
2014 Jun;31(1):65-68.
Surgical treatment of recurrent pseudochylothorax occurring after therapy of tuberculous pleurisy
- Affiliations
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- 1Department of Internal Medicine, National Medical Center, Seoul, Korea. jedidiah125@gmail.com
- 2Department of Thoracic Surgery, National Medical Center, Seoul, Korea.
- 3Department of Pathology, National Medical Center, Seoul, Korea.
Abstract
- Pseudochylothorax is an uncommon pleural effusion disease characterized by the presence of cholesterol crystals or high lipid content not resulting from a disrupted thoracic duct. Most of the cases reported so far had been found in patients with long-standing pleural effusion due to a chronic inflammatory disease such as old tuberculous pleurisy or chronic rheumatoid pleurisy. Authors encountered a case of pseudochylothorax in a 45-year-old man who had been treated for tuberculous pleurisy 6 years before his visit to authors' hospital. After that, he had visited the emergency department many times for removal of pleural effusion. The patient's chest X-ray revealed dyspnea and large left-sided pleural effusion. Although a large amount of pleural fluid was removed with a drainage catheter, massive pleural effusion was likely to recur, and the underlying lung was able to fully re-expand. Accordingly, decortication was done, and the patient's symptom was improved without postoperative complications.
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