Chylothorax

  • Chylothorax is the leakage of lymph
  • Chylothorax is usually a result of surgical trauma
  • There is traumatic and nontraumatic chylothorax
  • Traumatic chylothorax is 2/3 unilateral
  • Nontraumatic chylothorax is 1/3 bilateral, and is associated with Superior Vena Cava thrombosis
    - Aspiration of milky (chylous) fluid from thoracic cavity (may be reintroduced into body by way of nasogastric tube or well-monitored intravenous infusion).
    - Treatment for chylothorax is that the thoracic duct ligated after identification of rupture site by escape of intraabdominally injected dye.


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