Quilotórax secundario a herida por proyectil de arma de fuego

Carrillo-Esper, Raúl; Sosa-García, Jesús Ojino; Carrillo-Córdova, Carlos Alberto

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

Facultad de Ciencias de la Salud - CampCM

Type

text::journal::journal article

URL

https://scripta.up.edu.mx/handle/20.500.12552/3815

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