Refractory chylothorax following a transhepatic gunshot wound to the abdomen requiring unorthodox surgical treatment.

An 18 year-old-male sustained a gunshot wound to the abdomen which required an uneventful hepatorrhaphy. He later returned with a large right effusion and was diagnosed with a chylothorax. The output was persistent despite conservative measures. Thoracotomy with attempted thoracic duct ligation was...

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Detalles Bibliográficos
Autores principales: Cestero, Joseph, Bukhary, Hassan, Carrillo, Eddy, Rosenthal, Hassan, Pepe, Antonio, Sanchez, Rafael, Lee, Seong K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JSCR Publishing Ltd 2010
Materias:
Hepatobiliary Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649136/
https://www.ncbi.nlm.nih.gov/pubmed/24946329
http://dx.doi.org/10.1093/jscr/2010.6.3
Descripción
Sumario:An 18 year-old-male sustained a gunshot wound to the abdomen which required an uneventful hepatorrhaphy. He later returned with a large right effusion and was diagnosed with a chylothorax. The output was persistent despite conservative measures. Thoracotomy with attempted thoracic duct ligation was unsuccessful at decreasing the output. Re-exploration and ligation of the thoracic duct was required thru an abdominal approach.

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