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Unusual presentation of more common disease/injury
CASE REPORT
Transudative chylothorax: an uncommon illness due to a common cause
  1. Arindam Mukherjee1,
  2. Inderpaul Singh Sehgal1,
  3. Bhagwant Rai Mittal2,
  4. Sahajal Dhooria1
  1. 1 Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Sahajal Dhooria, sahajal{at}gmail.com

Summary

Chylothorax is defined as presence of chyle in the pleural space. It is commonly associated with cardiothoracic surgery, trauma, malignancy or some benign disorders. Transudative chylothorax is uncommon. A 52-year-old man presented with bilateral chylothorax with preceding history of blunt trauma to the chest. On further evaluation, he was diagnosed to have a transudative chylothorax due to cirrhosis of liver with coexisting chylous ascites and evidence of peritoneopleural communication. The patient was managed with diuretics followed by chemical pleurodesis with iodopovidone.

  • chylothorax
  • cirrhosis
  • pleurodesis
  • pleural effusion
  • transudative effusion
  • liver disease

https://doi.org/10.1136/bcr-2017-223158

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    Footnotes

    • Contributors AM was involved in patient management, concept, initial drafting and correction of the manuscript. ISS was involved in patient management, concept, planning and review of the manuscript. BRM was involved in patient management, concept, planning and review of the manuscript. SD was involved in patient management, concept, initial drafting and final preparation of the manuscript and is guarantor of the overall content.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.