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Quilotórax secundario a herida por proyectil de arma de fuego
Journal
Cirugía y Cirujanos
ISSN
0009-7411
Date Issued
2009-11
Author(s)
Carrillo-Esper, Raúl
Sosa-García, Jesús Ojino
Carrillo-Córdova, Carlos Alberto
Type
Resource Types::text::journal::journal article
Abstract
Background: Chylothorax is the occurrence of chylo in the pleural space due to damage or obstruction of the thoracic duct. Its etiology can be traumatic or nontraumatic. Traumatic lesion of the thoracic duct occurs after accidents or cardiothoracic surgery. Non-Hodgkin’s lymphoma is the most frequent nontraumatic etiology. Milky aspect and high content of triglycerides in pleural fluid confirm the diagnosis. The objective of this paper is to present a case of chylothorax secondary to shotgun lesion as well as to review current concepts about chylothorax and its treatment. Clinical case: We present the case of a 33-year-old male patient with chylothorax secondary to gunshot lesion. Management was based on fasting, parenteral nutrition and pleural drainage. Patient’s evolution was satisfactory