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A Large Pleural Effusion following Abdominal Aortic Surgery
Chylous ascites and coexistent chylothorax is a rare but important complication following retroperitoneal abdominal surgery. We report a 70-year-old male who developed gradual abdominal distension, chest tightness, and dyspnea five months after having an uncomplicated aortobifemoral bypass performed...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655280/ https://www.ncbi.nlm.nih.gov/pubmed/26635989 http://dx.doi.org/10.1155/2015/254010 |
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author | Ramsaran, Vinoo K. Seeram, Vandana K. Cury, James Shujaat, Adil |
author_facet | Ramsaran, Vinoo K. Seeram, Vandana K. Cury, James Shujaat, Adil |
author_sort | Ramsaran, Vinoo K. |
collection | PubMed |
description | Chylous ascites and coexistent chylothorax is a rare but important complication following retroperitoneal abdominal surgery. We report a 70-year-old male who developed gradual abdominal distension, chest tightness, and dyspnea five months after having an uncomplicated aortobifemoral bypass performed. Physical examination was consistent with a large right sided effusion and ascites which were confirmed by computed tomography. Thoracentesis yielded an opaque milky fluid with analysis consistent with a chylothorax with a paracentesis revealing fluid that was similar in both appearance and biochemistry. The patient failed initial conservative management so a chest tube was placed followed by chemical pleurodesis. We review the literature of the pathophysiology and treatment approach to such a pleural effusion. |
format | Online Article Text |
id | pubmed-4655280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-46552802015-12-03 A Large Pleural Effusion following Abdominal Aortic Surgery Ramsaran, Vinoo K. Seeram, Vandana K. Cury, James Shujaat, Adil Case Rep Pulmonol Case Report Chylous ascites and coexistent chylothorax is a rare but important complication following retroperitoneal abdominal surgery. We report a 70-year-old male who developed gradual abdominal distension, chest tightness, and dyspnea five months after having an uncomplicated aortobifemoral bypass performed. Physical examination was consistent with a large right sided effusion and ascites which were confirmed by computed tomography. Thoracentesis yielded an opaque milky fluid with analysis consistent with a chylothorax with a paracentesis revealing fluid that was similar in both appearance and biochemistry. The patient failed initial conservative management so a chest tube was placed followed by chemical pleurodesis. We review the literature of the pathophysiology and treatment approach to such a pleural effusion. Hindawi Publishing Corporation 2015 2015-11-09 /pmc/articles/PMC4655280/ /pubmed/26635989 http://dx.doi.org/10.1155/2015/254010 Text en Copyright © 2015 Vinoo K. Ramsaran et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ramsaran, Vinoo K. Seeram, Vandana K. Cury, James Shujaat, Adil A Large Pleural Effusion following Abdominal Aortic Surgery |
title | A Large Pleural Effusion following Abdominal Aortic Surgery |
title_full | A Large Pleural Effusion following Abdominal Aortic Surgery |
title_fullStr | A Large Pleural Effusion following Abdominal Aortic Surgery |
title_full_unstemmed | A Large Pleural Effusion following Abdominal Aortic Surgery |
title_short | A Large Pleural Effusion following Abdominal Aortic Surgery |
title_sort | large pleural effusion following abdominal aortic surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655280/ https://www.ncbi.nlm.nih.gov/pubmed/26635989 http://dx.doi.org/10.1155/2015/254010 |
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