A Case of Chylothorax after Tube Thoracostomy.
- Author:
Kyu Un CHOI
1
;
Gyung Hoon KANG
;
Sung Hoon KIM
;
Hyun Woong SEO
;
Bock Hyun JUNG
;
Sung Soo KIM
;
Jaemin LIM
Author Information
- Publication Type:Case Report
- Keywords: Chylothorax; Chest Tubes; Complications
- MeSH: Chest Tubes; Chylothorax; Hemorrhage; Hemothorax; Humans; Incidence; Lupus Erythematosus, Systemic; Parenteral Nutrition, Total; Pleural Effusion; Steroids; Thoracostomy; Triglycerides
- From:Tuberculosis and Respiratory Diseases 2012;72(1):59-62
- CountryRepublic of Korea
- Language:Korean
- Abstract: Tube thoracostomy is known to cause complications such as bleeding or infection, but the incidence of chylothorax secondary to tube thoracostomy is under-reported, and therefore, we report this case. A patient was diagnosed as systemic lupus erythematosus with pleural and pericardial involvement. During repeated therapeutic thoracentesis, which were performed because of poor response to steroids and cylophosphamide, hemothorax developed and we therefore inserted a chest tube. The pleural effusion changed from red to milky color in several hours and we diagnosed the pleural effusion as chylothorax. Total parenteral nutrition based on medium-chain triglycerides was supplied to this patient and chylothorax was improved after 4 days.
