TY - JOUR T1 - Rare case of massive bilateral chylothorax JF - BMJ Case Reports DO - 10.1136/bcr-2017-221031 VL - 2017 SP - bcr-2017-221031 AU - Guramrinder Singh Thind AU - Dominika M Zoltowska AU - Yashwant Agrawal Y1 - 2017/09/07 UR - http://casereports.bmj.com/content/2017/bcr-2017-221031.abstract N2 - We present a case of a 48-year-old woman who was referred from an outside hospital. There, she had initially underwent hysterectomy and left salpingo-oophorectomy for tubo-ovarian abscess. She later developed a colovaginal fistula and perforation of sigmoid colon and underwent Hartmann’s procedure along with drainage of a left subphrenic abscess. Subsequently, she had to be intubated for acute respiratory failure and was transferred to our hospital. At our hospital, she was found to have massive bilateral pleural effusions. Bilateral small-bore chest tubes were inserted that drained milky fluid. Pleural fluid analysis was consistent with bilateral chylothorax. Thereafter, patient’s respiratory status improved and she was extubated. The mechanism of chylothorax was thought be either secondary to the multiple abdominal procedures or alternatively as a complication of the right subclavian catheter that was placed at the outside hospital. Her chest tubes were removed eventually, and she had a slow but definite recovery. ER -