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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...

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Autores principales: Ramsaran, Vinoo K., Seeram, Vandana K., Cury, James, Shujaat, Adil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
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.
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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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