Dual Chyle Leak: A Case of Chylothorax With Chylous Ascites.

Chylothorax is a rare and often insidious disorder, characterised by the accumulation of chyle in the pleural cavity. It results in substantial diagnostic and therapeutic challenges. We report the case of a 56-year-old male with a two-year history of chronic liver disease on treatment, who presented with complaints of breathlessness and abdominal distension for 10 days. Evaluation demonstrated chylothorax, chylous ascites, and a multi-thrombotic state. The underlying etiology was multifactorial, including a thoracic duct leak at the T4-T5 vertebral level. Thoracic duct embolisation was performed, which resulted in a marked reduction in pleural chyle accumulation and significant symptomatic relief.