Yıl: 2018 Cilt: 7 Sayı: 1 Sayfa Aralığı: 33 - 35 Metin Dili: İngilizce DOI: 10.5505/respircase.2018.65807 İndeks Tarihi: 14-08-2020

A Case of Chylothorax with Interesting Etiology

Öz:
Chylothorax occurs when chylous fluid from the lymphatic system accumulates in the pleural space dueto damage to the ductus thoracicus. The milky fluidcontains a high concentration of triglycerides in theform of chylomicrons. The initial test for diagnosis isanalysis of the pleural fluid. It may be associated witha number of traumatic and nontraumatic conditions.Chylothorax was diagnosed in a patient who underwent an operation for a thoracic vertebra fracture 4years earlier who presented with bronchitis. Fixationpins in the lower thoracic vertebra inserted in theoperation were observed on thorax computerizedtomography. No other etiological cause for chylothorax was found based on the patient history, physicalexamination, or advanced examinations. It was decided that the collapse and fracture operation had alate complication. This case is presented as an interesting etiological cause of chylothorax as, to ourknowledge, there is no similar case in the literature.
Anahtar Kelime:

Etyolojisi İlginç bir Şilotoraks Olgusu

Öz:
Şilotoraks, duktus torasikusun zarar görmesine bağlı şilöz sıvının lenfatik sistemden plevral boşluğa geçmesidir ve süt rengi sıvıda şilomikron formunda yüksek konsantrasyonda trigliserid içerir. Tanı için başlangıç testi plevra sıvı analizidir. Travmatik ve nontravmatik birçok nedene bağlı olabilir. Bir ay önceki geçirdiği bronşit neden ile öksürük şikâyeti olan ve şilotoraks saptanan olguda, dört yıl önce torakal vertebra kırığı nedeni ile ameliyat öyküsü de mevcuttu. Toraks bilgisayarlı tomografide, alt torakal vertebrada, operasyonda yerleştirilen fiksasyon çivisinin anteriora doğru kaydığı tespit edildi. Öykü, fizik muayene ve ileri tetkiklerle şilotoraksa neden olan diğer etiyolojik neden bulunamadı ve çökme kırığı ameliyatının geç komplikasyonu olduğuna karar verildi. Daha önce literatürde bu ilginç etiyolojik neden ile bildirilen benzer bir olgu bulunmaması nedeni ile sunulmuştur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Staats BA, Ellefson RD, Budahn LL, Dines DE, Prakash UB, Offord K. The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc 1980; 55):700-4.
  • 2. McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respiratory Medicine 2010; 104:1-8. [CrossRef]
  • 3. Doerr CH, Miller DL, Ryu JH. Chylothorax. Semin Respir Crit Care Med 2001; 22:617-26. [CrossRef]
  • 4. Nadolski G. Nontraumatic chylothorax: diagnostic algorithm and treatment options. Tech Vasc Interv Radiol 2016; 19:286-90. [CrossRef]
  • 5. Klezl Z, Swamy GN, Vyskocil T, Kryl J, Stulik J. Incidence of vascular complications arising from anterior spinal surgery in the thoraco-lumbar spine. Asian Spine J 2014; 8:59-63. [CrossRef]
  • 6. Su IC, Chen CM. Spontaneous healing of retroperitoneal chylous leakage following anterior lumbar spinal surgery: a case report and literature review. Eur Spine J 2007; 16:332-7. [CrossRef]
  • 7. Rames RD, Schoenecker PL, Bridwell KH. Chylothorax after posterior spinal instrumentation and fusion. Clin Orthop Relat Res 1990; 261:229-32. [CrossRef]
  • 8. Weening AA, Schurink B, Ruurda JP, van Hillegersberg R, Bleys RLAW, Kruyt MC. Chyluria and chylothorax after posterior selective fusion for adolescent idiopathic scoliosis. Eur Spine J 2018 [In press] [CrossRef]
  • 9. Ameri E, Ghandhari H, Nabizadeh N, Hesarikia H. Chylothorax complication in posterior spinal fusion (report of one case). IJOS 2014; 12:80-3.
APA Ogan N, AAKPINAR E, KAPLAN T, TÜRKER G, Gulhan M (2018). A Case of Chylothorax with Interesting Etiology. , 33 - 35. 10.5505/respircase.2018.65807
Chicago Ogan Nalan,AAKPINAR Evrim Eylem,KAPLAN Tevfik,TÜRKER Gökçe,Gulhan Meral A Case of Chylothorax with Interesting Etiology. (2018): 33 - 35. 10.5505/respircase.2018.65807
MLA Ogan Nalan,AAKPINAR Evrim Eylem,KAPLAN Tevfik,TÜRKER Gökçe,Gulhan Meral A Case of Chylothorax with Interesting Etiology. , 2018, ss.33 - 35. 10.5505/respircase.2018.65807
AMA Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M A Case of Chylothorax with Interesting Etiology. . 2018; 33 - 35. 10.5505/respircase.2018.65807
Vancouver Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M A Case of Chylothorax with Interesting Etiology. . 2018; 33 - 35. 10.5505/respircase.2018.65807
IEEE Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M "A Case of Chylothorax with Interesting Etiology." , ss.33 - 35, 2018. 10.5505/respircase.2018.65807
ISNAD Ogan, Nalan vd. "A Case of Chylothorax with Interesting Etiology". (2018), 33-35. https://doi.org/10.5505/respircase.2018.65807
APA Ogan N, AAKPINAR E, KAPLAN T, TÜRKER G, Gulhan M (2018). A Case of Chylothorax with Interesting Etiology. Respiratory Case Reports, 7(1), 33 - 35. 10.5505/respircase.2018.65807
Chicago Ogan Nalan,AAKPINAR Evrim Eylem,KAPLAN Tevfik,TÜRKER Gökçe,Gulhan Meral A Case of Chylothorax with Interesting Etiology. Respiratory Case Reports 7, no.1 (2018): 33 - 35. 10.5505/respircase.2018.65807
MLA Ogan Nalan,AAKPINAR Evrim Eylem,KAPLAN Tevfik,TÜRKER Gökçe,Gulhan Meral A Case of Chylothorax with Interesting Etiology. Respiratory Case Reports, vol.7, no.1, 2018, ss.33 - 35. 10.5505/respircase.2018.65807
AMA Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M A Case of Chylothorax with Interesting Etiology. Respiratory Case Reports. 2018; 7(1): 33 - 35. 10.5505/respircase.2018.65807
Vancouver Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M A Case of Chylothorax with Interesting Etiology. Respiratory Case Reports. 2018; 7(1): 33 - 35. 10.5505/respircase.2018.65807
IEEE Ogan N,AAKPINAR E,KAPLAN T,TÜRKER G,Gulhan M "A Case of Chylothorax with Interesting Etiology." Respiratory Case Reports, 7, ss.33 - 35, 2018. 10.5505/respircase.2018.65807
ISNAD Ogan, Nalan vd. "A Case of Chylothorax with Interesting Etiology". Respiratory Case Reports 7/1 (2018), 33-35. https://doi.org/10.5505/respircase.2018.65807