ABSTRACT
A 66-year-old man was admitted to our hospital because of bloody sputum. Chest computed tomographic scans disclosed a right hilar tumor. A tumor in the right upper-lobe bronchus was detected by fiberoptic bronchoscopy. Microscopic examination disclosed moderately differentiated squamous cell carcinoma. The patient was treated with irradiation and combination chemotherapy. Thereafter, right chylous pleural effusion developed and continued to accumulate. Pleurodesis was induced by the intrathoracic injection of OK-432 at 15 KE per dose. Lung cancer with nontraumatic chylothorax is rare. In our patient, pleurodesis with OK-432 was an effective treatment.
Subject(s)
Carcinoma, Squamous Cell/complications , Chylothorax/therapy , Lung Neoplasms/complications , Picibanil/administration & dosage , Pleurodesis , Aged , Chylothorax/etiology , Combined Modality Therapy , Humans , Male , Treatment OutcomeABSTRACT
A 50-year-old man was admitted to our hospital for the evaluation of a blunted left costophrenic angle on chest roentgenograms. Chest non-enhanced computed tomographic (CT) scans demonstrated the omentum as a crescent-shaped, fat-dense, mass-like shadow on the left dorsal thoracic wall, contiguous with the abdominal cavity and floating. Omental vessels were recognized as funicular water densities running in the superior-to-inferior direction. Magnetic resonance imaging disclosed that the omental vessels ran continuously from the abdominal cavity into the thoracic cavity through a defect in the diaphragm. Diaphragmatic hernia was diagnosed, and corrective surgery performed. We reported this case because the CT-based delineation of omental vessels protruding into the thoracic cavity is rare.
