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Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis

We report the first case of spontaneous chylothorax complicating small cell lung cancer. A 52 year old female presented with exertional dyspnoea, left-sided chest and neck pain, and dysphagia. The chest X-ray on admission revealed a large left-sided pleural effusion. A subsequent CT chest showed a l...

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Detalles Bibliográficos
Autores principales: Hanina, S., Vivekananthan, C., Randhawa, R., Bhattacharya, M., Thomas, P., Kavidasan, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501454/
https://www.ncbi.nlm.nih.gov/pubmed/26236602
http://dx.doi.org/10.1016/j.rmcr.2015.02.005
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author Hanina, S.
Vivekananthan, C.
Randhawa, R.
Bhattacharya, M.
Thomas, P.
Kavidasan, A.
author_facet Hanina, S.
Vivekananthan, C.
Randhawa, R.
Bhattacharya, M.
Thomas, P.
Kavidasan, A.
author_sort Hanina, S.
collection PubMed
description We report the first case of spontaneous chylothorax complicating small cell lung cancer. A 52 year old female presented with exertional dyspnoea, left-sided chest and neck pain, and dysphagia. The chest X-ray on admission revealed a large left-sided pleural effusion. A subsequent CT chest showed a large anterior mediastinal mass with a left brachiocephalic and jugular vein thrombosis. The patient underwent medical thoracoscopy with chest drain insertion, which drained pleural fluid high in triglycerides, consistent with a chylothorax. Due to its uncommon nature, the management of chylothorax is not well defined. Alongside the case report, we provide a review of aetiology, mechanism and diagnosis with a brief summary of treatment options.
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spelling pubmed-45014542015-08-01 Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis Hanina, S. Vivekananthan, C. Randhawa, R. Bhattacharya, M. Thomas, P. Kavidasan, A. Respir Med Case Rep Case Report We report the first case of spontaneous chylothorax complicating small cell lung cancer. A 52 year old female presented with exertional dyspnoea, left-sided chest and neck pain, and dysphagia. The chest X-ray on admission revealed a large left-sided pleural effusion. A subsequent CT chest showed a large anterior mediastinal mass with a left brachiocephalic and jugular vein thrombosis. The patient underwent medical thoracoscopy with chest drain insertion, which drained pleural fluid high in triglycerides, consistent with a chylothorax. Due to its uncommon nature, the management of chylothorax is not well defined. Alongside the case report, we provide a review of aetiology, mechanism and diagnosis with a brief summary of treatment options. Elsevier 2015-05-08 /pmc/articles/PMC4501454/ /pubmed/26236602 http://dx.doi.org/10.1016/j.rmcr.2015.02.005 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hanina, S.
Vivekananthan, C.
Randhawa, R.
Bhattacharya, M.
Thomas, P.
Kavidasan, A.
Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title_full Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title_fullStr Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title_full_unstemmed Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title_short Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
title_sort spontaneous chylothorax complicating small cell lung cancer – review of aetiology and diagnosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501454/
https://www.ncbi.nlm.nih.gov/pubmed/26236602
http://dx.doi.org/10.1016/j.rmcr.2015.02.005
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