Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society · 2007
[Case of idiopathic chylothorax successfully treated with surgical ligation of thoracic ducts].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Inomoto Yoshiko, Hirose Hiroko, Fukahori Susumu, Tsuchida Tomoko, Kawano Tetsuya, Fukushima Chizu, Matsuse Hiroto, Matsuo Nobuko, Kohno Shigeru
Аннотация
A 72-year-old woman visited a clinic for anorexia and general fatigue but no particular abnormality was detected by routine examination at that time. Thereafter, she experienced gradually increasing dyspnea and chest X ray showed right pleural effusion. Idiopathic chylothorax was diagnosed due to the milky effusion with a high concentration of triglyceride (2618 mg/dl) and no apparent causative disease. Irrespective of treatments including dietary restriction, drainage of the pleural space, and somatostatin injections, her effusion did not reduce. The leakage of lymph fluid from the right posterior mediastinum was identified by lymphatic scintigraphy and she was successfully treated with surgical ligation of the thoracic ducts.