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Case report
Unusual case of chylothorax with unilateral limb swelling
  1. Vishal Jha1 and
  2. Aditi Jha2
  1. 1Department of Medicine, Army Hospital Research and Referral, New Delhi, Delhi, India
  2. 2Department of Anaesthesiology, General Hospital, Ladakh, India
  1. Correspondence to Dr Vishal Jha; vishaljha86{at}


Here, we present an unusual case of 26-month male toddler who presented with swelling of right lower limb with painless hyperpigmented patch over right groin of 18 months duration associated with recent onset respiratory distress. Evaluation revealed right chylothorax and MRI revealed altered signal intensity in bones and muscles of right lower limb. Lymphoscintigraphy revealed absence of lymphatic channels in right lower limb. Skin biopsy from hyperpigmented patch was suggestive of vasoformative lesion favouring lymphangiomatosis. A diagnosis of Gorham’s syndrome was made, and our patient was managed with drainage of chylothorax followed by pleurodesis, parenteral nutrition and radiotherapy.

  • musculoskeletal and joint disorders
  • respiratory system
  • paediatric prescribing
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  • Contributors VJ, the author, was actively involved in the management of the case and drafting the report. AJ, the anaesthesiologist, has assisted in the management of case, reviewing the manuscript and collecting the pictures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

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

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