Chylothorax and pseudochylothorax: differential diagnosis and contemporary treatment options
Authors:
P. Žáčková; M. Vašáková
Authors‘ workplace:
Primářka: MUDr. Martina Vašáková, Ph. D.
; Fakultní Thomayerova nemocnice s poliklinikou
; Přednostka: MUDr. Václava Bártů
; Pneumologická klinika 1. LF UK, Praha
Published in:
Prakt. Lék. 2008; 88(6): 352-358
Category:
Case Report
Overview
Both chylothorax and pseudochylothorax belong to the group of pleural effusions with high lipid content. They are rather rare and represent about 10 % of the whole spectrum of pleural effusions. Macroscopic appearance of chylothorax and pseudochylothorax is typical, but identification of etiology is very difficult, because both can be induced by numerous conditions and diseases. This review article deals with description, pathophysiology, differential diagnosis and treatment of chylothorax and pseudochylothorax with emphasis on the causal and symptomatic treatment depending on the primary cause.
Key words:
chylothorax, pseudochylothorax, aetiology, diagnosis, treatment
Sources
1. Adnan, H., Allaham, M.D., Anthony, L. et al. Chylothorax complicating repais of the descending and thoracoabdominal aorta. Chest 2006, 130, p. 1138-1142.
2. Bakakos, P., Toumbis, M., Rasidakis, A. Chylothorax and pseudochylotorax. In: Pleural Disease. New York: Marcel Dekker, Inc. 2004, p. 943-958. ISBN 0-8247-4027-0.
3. Blankenship, M.E., Rowlet, J., Timby, J.W. et al. giant lymph node hyperplasia (Castleman’s Disease) presenting with chylous pleural effusion. Chest 1997, 112, p. 1132-1133.
4. Bonn, J., Sperling, D., Walinsky, P. et al. Percutaneous embolization of thoracic duct injury. Circulation 2000, 102, p. 268-271.
5. Duffy, B.M., Manon, R., Patel, R. et al. A case of Gorham‘s disease with chylothorax treated curatively with radiation therapy. Clinical Medicine Research, No. 2, p. 83-86.
6. Ferreira Da Cunha, D., Dos Santos, V. M., Freire De Carvalho Da Cunha, S., et al. Chylothorax in hairy cell leukemia. Medicina 1999, 59, p. 83-85.
7. Hillerdal, G. Chylothorax and pseudochylothorax. Eur. Respir. J. 1997, 10, p. 1157-1162.
8. Koksal, N., Demir, S., Okan, M. et al. Congenital chylothorax. Turk. J. Med. Sci. 2000, 30, p. 307-309.
9. Le Pimpec-Barthes, F., D’Attellis, N., Dujon, A. et al. Chylothorax complicating pulmonary resection. J. Pediatr. 2000, 136 p. 653-658.
10. Murphy, M.C., Newman, B.M., Rodgers, B.M. Pleuroperitoneal shunts in the management of persistant chylothorax. Ann. Thorac. Surg. 1989, 48, p. 195-200.
11. Nagar Arpit, M., Bhatgadde Veena, L., Raut Abhíjít, A., Narlawar Ranjeet, S. Skeletal lymphangiomatosis with chylous pleural effusion. J. Radiol. 2003 [on line]. Dostupný na http://www.jra-diology.com/arts/56.pdf [cit. 2008-05-06].
12. Plummer, J. M., Mc Farlane, M., Mc Donald, A. Chylous ascites associated with chylothorax: An unusual sequlae of penetrating abdominal trauma. J. Chin. Clin. Med. 2007, 2(3), p. 178-180.
13. Riza Altiparmak, M., Avar, S., Yanik, S. Chylous ascites and chylothorax due to constrictive pericarditis in a patient undergoing hemodialysis. J. Med. 2004, 2, p. 59-61.
14. Shibata, K., Kitagawa, S., Fujimura, M., Matsuda, T. Chylothorax associated with inflammatory carcinoma. Inter. Med, No. 6, p. 538-541.
15. Thomas, R., Christopher, D.J., Roy, A. et al. Chylothorax following innominate vein thrombosis – a rare complication of transvenous pacemaker implantation. Respiration 2007, 74, p. 338-340.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2008 Issue 6
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