Late-onset chylothorax after pulmonary resection for lung cancer
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Maiko Tabu, MD · Kazuhiro Imai, MD Jun-ichi Ogawa, MD · Yoshihiro Minamiya, MD Satoru Yoshida, MD · Kyo Hirayama, MD Takeyuki Sawano, MD · Ikuo Mat
- چاپ و سال / کشور: 2010
Description
Chylothorax is a relatively rare complication of thoracic surgery. Most instances of chylothorax after pulmonary resection are diagnosed within 3 days after surgery. Hence, late-onset chylothorax is rare. A 68-year-old woman underwent right lower lobectomy and mediastinal dissection for lung cancer. After discharge, the patient developed a dry cough, and chest radiography more than 3 months after surgery revealed a right-sided pleural effusion occupying more than half of the right hemithorax, which we diagnosed as late-onset chylothorax. Treatment comprised chest drainage, subcutaneous octreotide, and pleurodesis by injecting a preparation of OK-432. Followup chest radiography confi rmed no reaccumulation of fl uid. Three months later no recurrence of pleural effusion was detected. We report a rare case of postoperative lateonset chylothorax that proved diffi cult to treat
Gen Thorac Cardiovasc Surg (2011) 59:205–208 DOI 10.1007/s11748-010-0635-6 Received: 5 February 2010 / Accepted: 22 April 2010
