RESUMO
Life-threatening spontaneous chylothorax is a rare clinical entity. Correct diagnosis and understanding of its pathogenesis is paramount in order to apply definite surgical treatment. A case of a ruptured multilocular chylocyst around the thoracic duct and cysterna chyli is presented. Multiple bilateral aspirations, right thoracostomy, right thoracotomy, a frustrated attempt to ligate the thoracic duct, and an attempt to insert a pleuroperitoneal shunt, were all unsuccessful. Definite surgery accomplished rehabilitation of the patient after a 5 1/2 month hospitalization. Revision of the literature and vindicative historical facts are presented.
Assuntos
Quilo , Cisto Mediastínico/patologia , Adulto , Quilotórax/etiologia , Quilotórax/patologia , Quilotórax/cirurgia , Humanos , Masculino , Cisto Mediastínico/complicações , Cisto Mediastínico/cirurgia , Mediastino/patologia , Mediastino/cirurgia , Recidiva , Ruptura EspontâneaRESUMO
Life-threatening spontaneous chylothorax is a rare clinical entity. Correct diagnosis and understanding of its pathogenesis is paramount in order to apply definite surgical treatment. A case of a ruptured multilocular chylocyst around the thoracic duct and cysterna chyli is presented. Multiple bilateral aspirations, right thoracostomy, right thoracotomy, a frustrated attempt to ligate the thoracic duct, and an attempt to insert a pleuroperitoneal shunt, were all unsuccessful. Definite surgery accomplished rehabilitation of the patient after a 5 1/2 month hospitalization. Revision of the literature and vindicative historical facts are presented
Assuntos
Quilo , Cisto Mediastínico/patologia , Cisto Mediastínico/cirurgia , Cisto Mediastínico/complicações , Mediastino/patologia , Mediastino/cirurgia , Quilotórax/cirurgia , Quilotórax/etiologia , Quilotórax/patologia , Recidiva , Ruptura EspontâneaRESUMO
We report on a patient with a large adrenal myelolipoma which was suspected pre-operatively on the basis of sonographic, computed tomography (CT), and radiographic findings.
