Chylothorax

Case contributed by Maxime St-Amant , 3 Aug 2012
Diagnosis certain
Changed by Mostafa Elfeky, 29 Nov 2019

Updates to Case Attributes

Presentation was changed:
Post-op-operative status of a thoraco-abdominal aorta aneurysm repair.
Age changed from 85 to 85 years.
Body was changed:

Chylothorax is suspected on clinical grounds, as in this patient. Pleural puncture and pleural fluid analysis confirmed the diagnosis.

  • -<p>Chylothorax is suspected on clinical grounds, as in this patient. Pleural puncture and pleural fluid analysis confirmed the diagnosis.</p><p> </p>
  • +<p>Chylothorax is suspected on clinical grounds, as in this patient. Pleural puncture and pleural fluid analysis confirmed the diagnosis.</p>

Updates to Study Attributes

Findings was changed:

There is a moderate left pleural effusionseffusion of water density (around 11 HU), which is a non specific-specific finding in this post-op-operative patient. However, the effusion is strangely wavy instead of having the usual crescent shape. This does not necessarily correlate with chylothorax, but it makes us more suspicious of the diagnosis in the context of a possible per-operative thoracic duct laceration. 

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