Bilateral spontaneous chylothorax after severe vomiting in children

详细信息    查看全文

• 作者：Antonio Lucas Lima Rodrigues^a ; ^{antoniollrodrigues@yahoo.com.br" class="auth_mail" title="E-mail the corresponding author} ; Mariana Tresoldi das Neves Romaneli^b ; Celso Dario Ramos^b ; Andrea de Melo Alexandre Fraga^b ; Ricardo Mendes Pereira^b ; Simone Appenzeller^b ; Roberto Marini^b ; Antonia Teresinha Tresoldi^b
• 关键词：Chylothorax ; Vomiting ; Thoracic duct ; Scintigraphy ; Child
• 刊名：Revista Paulista de Pediatria (English Edition)
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：34
• 期：4
• 页码：518-521
• 全文大小：1050 K

文摘

To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.

Case description

Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.

Comments

Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.