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Published 14 July 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1348]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual association of diseases/symptoms

Rapid development of chylothorax in patient with propofol-induced coma

Krzysztof Laudanski, A Joseph Layon

Department of Anesthesiology, Critical Care & Pain at Beth Israel Hospital, Harvard Medical School, Boston, USA

Correspondence to:
Krzysztof Laudanski, klaudanski{at}bidmc.harvard.edu

SUMMARY

A woman presented with new onset of a progressive ataxia. Subsequently, she underwent resection of a ponto-cerebellar maeningioma. Ten days later a chylothorax developed. Although the exact aetiology of the chylothorax is unclear, an acute obstruction of common chyle duct with a concomitant lipophilic infusion of propofol seems most likely to be a culprit for rapid increase in the size of the pleural effusions.


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