TRAUMATIC RUPTURE OF THE THORACIC DUCT WITH BILATERAL CHYLOTHORAX AND CHYLOUS ASCITES

1937 ◽  
Vol 34 (1) ◽  
pp. 120 ◽  
Author(s):  
A. LINCOLN BROWN
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites ◽  
Traumatic Rupture ◽  
Bilateral Chylothorax

TRAUMATIC RUPTURE OF THE THORACIC DUCT WITH CHYLOTHORAX

1942 ◽  
Vol 119 (4) ◽  
pp. 337 ◽  
Author(s):  
Joseph F. Dorsey ◽  
George E. Morris
Keyword(s):  
Thoracic Duct ◽  
Traumatic Rupture

scholarly journals Fatal Bilateral Chylothorax in Mice Lacking the Integrin α9β1

2000 ◽  
Vol 20 (14) ◽  
pp. 5208-5215 ◽  
Author(s):  
X. Z. Huang ◽  
J. F. Wu ◽  
R. Ferrando ◽  
J. H. Lee ◽  
Y. L. Wang ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Thoracic Duct ◽  
Lymphocytic Infiltration ◽  
Cell Matrix ◽  
Bilateral Chylothorax ◽  
Matrix Interactions ◽  
Congenital Chylothorax ◽  
Cell Matrix Interactions ◽  
Cell Adhesion Molecule 1

ABSTRACT Members of the integrin family of adhesion receptors mediate both cell-cell and cell-matrix interactions and have been shown to play vital roles in embryonic development, wound healing, metastasis, and other biological processes. The integrin α9β1 is a receptor for the extracellular matrix proteins osteopontin and tenacsin C and the cell surface immunoglobulin vascular cell adhesion molecule-1. This receptor is widely expressed in smooth muscle, hepatocytes, and some epithelia. To examine the in vivo function of α9β1, we have generated mice lacking expression of the α9 subunit. Mice homozygous for a null mutation in the α9 subunit gene appear normal at birth but develop respiratory failure and die between 6 and 12 days of age. The respiratory failure is caused by an accumulation of large volumes of pleural fluid which is rich in triglyceride, cholesterol, and lymphocytes. α9 −/− mice also develop edema and lymphocytic infiltration in the chest wall that appears to originate around lymphatics. α9 protein is transiently expressed in the developing thoracic duct at embryonic day 14, but expression is rapidly lost during later stages of development. Our results suggest that the α9 integrin is required for the normal development of the lymphatic system, including the thoracic duct, and that α9 deficiency could be one cause of congenital chylothorax.

scholarly journals Case Report: Management of idiopathic chylothorax

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 1049 ◽  
Author(s):  
Maher Abouda ◽  
Yangui Ferdaous ◽  
Miriam Triki ◽  
Mehdi Charfi ◽  
Mohamed Ridha Charfi
Keyword(s):  
Case Report ◽  
Pleural Fluid ◽  
Medical Therapy ◽  
Thoracic Duct ◽  
Medium Chain Triglyceride ◽  
Pleural Space ◽  
Low Fat Diet ◽  
Thoracic Duct Ligation ◽  
Bilateral Chylothorax ◽  
Duct Ligation

Chylothorax is characterized by the presence of chyle in the pleural space and results from lesion or obstruction of the thoracic duct. We present two cases of non-traumatic, idiopathic chylothorax in two females that were treated differently. The first is a 42 year old female who presented with a symptomatic right chylothorax. Treatment by a low-fat diet supplemented with medium chain triglyceride and evacuation of the pleural fluid was sufficient. The second patient is a 25 year old female admitted for a bilateral chylothorax. Despite optimal medical therapy, chylothorax continued to persist. Finally thoracic duct ligation was performed, which resulted in resolution of the effusion. These two cases illustrate that the management of idiopathic chylothorax can be surgical or nonsurgical.

scholarly journals BILATERAL CHYLOTHORAX SECONDARY TO SPONTANEOUS THORACIC DUCT ANEURYSM

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A193
Author(s):  
Nichole Smith ◽  
Jack Buckley
Keyword(s):  
Thoracic Duct ◽  
Bilateral Chylothorax

Reticuloendothelial System: Vascular, Nonvascular, and Oncologic

2018 ◽  
pp. 626-638
Author(s):  
Ernesto Santos ◽  
Joshua Pinter ◽  
Kevin McCluskey
Keyword(s):  
Thoracic Duct ◽  
Therapeutic Option ◽  
Chylous Ascites ◽  
Reticuloendothelial System ◽  
Arterial Aneurysm ◽  
Phagocytic Cells ◽  
Splenic Neoplasm ◽  
Lymphatic Fistula ◽  
Splenic Biopsy ◽  
Clinical Conditions

The reticuloendothelial system is the portion of the immune system consisting of phagocytic cells found in reticular connective tissue in the spleen, liver, lungs, bone marrow, and lymph nodes. For the purposes of this chapter, the discussion will be limited to interventions within the spleen and the lymphatic system. Splenic arterial interventions are performed to treat a variety of clinical conditions, including abdominal trauma, hypersplenism, splenic arterial aneurysm/pseudoaneurysm, portal hypertension, and splenic neoplasm, and they provide an alternative to open surgery. Although not commonly performed, percutaneous splenic biopsy and drainage are relatively safe and efficacious procedures. Lymphangiography is a therapeutic option for patients with chylothorax, chylous ascites, and lymphatic fistula. Percutaneous thoracic duct embolization (TDE) is an alternative to surgical ligation of the thoracic duct (TD).

Ultrasound-guided intranodal lymphangiography followed by thoracic duct embolization for treatment of postoperative bilateral chylothorax

Head & Neck ◽  
2013 ◽  
Vol 36 (2) ◽  
pp. E21-E24 ◽  
Author(s):  
Ahmad Parvinian ◽  
Girish C. Mohan ◽  
Ron C. Gaba ◽  
David F. Saldanha ◽  
M. Grace Knuttinen ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Ultrasound Guided ◽  
Bilateral Chylothorax ◽  
Intranodal Lymphangiography

scholarly journals First successful case of percutaneous transabdominal thoracic duct embolization (PTTDE) for chylous ascites resulting from laparoscopic gastric cancer surgery

2021 ◽  
Author(s):  
Hideyuki Yokokawa ◽  
Takao Katsube ◽  
Miki Miyazawa ◽  
Ryohei Nishiguchi ◽  
Shinichi Asaka ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Thoracic Duct ◽  
Distal Gastrectomy ◽  
Oral Intake ◽  
Chylous Ascites ◽  
Albumin Concentration ◽  
Serum Albumin Concentration ◽  
Node Dissection ◽  
Gastric Cancer Surgery ◽  
Successful Case

AbstractA 61-year-old woman underwent laparoscopy-assisted distal gastrectomy (LADG) with extragastric lymph node dissection (D2). Two months later, she was readmitted to hospital to be treated for chylous ascites. Oral intake was discontinued and total parenteral nutrition started, but increasing body weight and decreasing serum albumin concentration was not controllable. Percutaneous transabdominal thoracic duct embolization (PTTDE) was performed on the 8th day after the readmission. Five days after PTTDE, oral intake was resumed. Seventeen days after PTTDE, the patient was discharged without recurrence of ascites. She has remained asymptomatic. We describe here the first patient with chylous ascites two months after LADG with D2 dissection for early gastric cancer who was successfully treated by PTTDE.

Chylous Ascites: A Rare Complication of Thoracic Duct Embolization for Chylothorax

2010 ◽  
Vol 34 (S2) ◽  
pp. 245-249 ◽  
Author(s):  
Ron C. Gaba ◽  
Charles A. Owens ◽  
James T. Bui ◽  
Tami C. Carrillo ◽  
M. Grace Knuttinen
Keyword(s):  
Thoracic Duct ◽  
Rare Complication ◽  
Chylous Ascites

scholarly journals Bilateral Chylothorax Following Left Neck Dissection and Literature Review

2021 ◽  
Author(s):  
Sachiko Kimizuka ◽  
Hiroyuki Yamada ◽  
Koji Kawaguchi ◽  
Toshikatsu Horiuchi ◽  
Akira Takeda ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Radical Neck Dissection ◽  
Clinical Findings ◽  
Cough Reflex ◽  
Low Fat Diet ◽  
Bilateral Chylothorax ◽  
Left Neck ◽  
Chyle Leakage

Abstract Background: Although chyle leakage may occur in the neck when the thoracic duct is damaged during cervical dissection, it is extremely rare for the chylothorax alone to leak chyle into the thoracic cavity. Case presentation: We report a case of bilateral chylothorax without chyle cervical leakage after left neck dissection, wherein partial left upper jaw resection and left radical neck dissection were performed in a 46-year-old woman who was diagnosed with left upper gingival cancer. The thoracic duct was ligated and cut during surgery and, although no obvious leakage of lymph was observed, dyspnea and cough reflex during deep inhalation were observed from the 3rd postoperative day. Approximately 600 mL of yellowish-white pleural effusion was aspirated during bilateral thoracentesis, and chylothorax was diagnosed based on clinical findings and biochemical analysis results. The patient was put on a low-fat diet on the 4th postoperative day, and a total of 3 neck drains were removed 8 days after the operation. Conclusions: Pleural effusion disappeared on imaging examination 16 days after thoracentesis and 5 years and 6 months have passed since the operation. At this time, there has been no evidence of tumor recurrence, metastasis, or pleural effusion.

Sign in / Sign up

Export Citation Format

Share Document