Traumatic contralateral chylothorax in a patient with penetrating neck injury: a case report
| Autor: | Nneka Uchendu, Joseph Buck, Olumide Olotu, John Holtrop, Isabella Graham |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Chyle AcademicSubjects/MED00910 business.industry Pleural effusion Chylothorax Case Report Pleural cavity medicine.disease Thoracic duct Surgery 03 medical and health sciences 0302 clinical medicine Hematoma medicine.anatomical_structure 030228 respiratory system medicine 030212 general & internal medicine business Stab wound jscrep/030 Penetrating trauma |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Chylothorax is defined as a collection of chyle within the pleural cavity secondary to injury of the thoracic duct. We describe a rare case of a contralateral chylothorax resulting from a penetrating wound to the left lower anterior neck region. A 37-year-old male presented to the emergency room with a penetrating stab wound of the left neck. Upon clinical exam, the wound measured about 3–4 cm with minimal bleeding and no expanding hematoma or other hard sign of vascular injury. Subsequently, his right chest tube output developed a milky appearance with a total volume of 260 cc over 24 h. The specimen was sent for triglyceride analysis and confirmed diagnosis of chylothorax. He was managed with conservative therapy not requiring surgical intervention. The anatomical variations arising in the thoracic duct warrant the consideration of possible chylothorax in both right and left pleural effusions secondary to penetrating trauma. |
| Databáze: | OpenAIRE |
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