A case report of bilateral chylous hemothorax presenting after laparoscopic renal pedicle lymphatic disconnection
10.3760/cma.j.cn112330-20220530-00328
- VernacularTitle:腹腔镜下肾蒂淋巴管结扎术后双侧乳糜血胸1例报告
- Author:
Junyue TAO
1
;
Chaozhao LIANG
;
Houxin RUAN
;
Chang LIU
;
Xiaokang BIAN
;
Hao YANG
;
Jun ZHOU
Author Information
1. 安徽医科大学第一附属医院泌尿外科 安徽医科大学泌尿外科研究所 泌尿生殖系统疾病安徽省重点实验室，合肥 230022
- Keywords:
Chyluria;
Laparoscopy;
Renal pedicle lymphatic disconnection;
Chylous hemothorax
- From:
Chinese Journal of Urology
2023;44(5):385-386
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic renal pedicle lymphatic disconnection is the most effective method for treating chyluria that has failed to respond to conservative management. Chylous hemothorax is a rare clinical occurrence resulting from the anatomic abnormality. This paper reported a case, who was admitted with painless gross hematuria for 1 month and was diagnosed with left chylous hematuria. Laparoscopic left renal pedicle lymphatic disconnection was performed, and bilateral chylous hemothorax occurred after the operation. After conservative treatment such as bilateral closed thoracic drainage and blood transfusion support, the patient recovered well. After 2 months of follow-up, there was no obvious effusion in the bilateral thoracic cavity, and the chylous test of urine fluid was negative.
