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A Case of Transudative Chylothorax: A Diagnostic Dilemma

Chylothorax is a type of pleural effusion characterized by the presence of chyle in the pleural space with triglyceride levels >110 mg/dL or evidence of chylomicrons in pleural fluid. Chylous effusion is typically exudative in nature with lymphocytic predominance. Transudative chylothorax is a ra...

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Detalles Bibliográficos
Autores principales: Rajdev, Kartikeya, Avula, Akshay, Sharma, Dikshya, Mansour, Wissam, Agarwal, Shivika, Siddiqui, Abdul Hasan, Chalhoub, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922503/
https://www.ncbi.nlm.nih.gov/pubmed/29719749
http://dx.doi.org/10.7759/cureus.2247
Descripción
Sumario:Chylothorax is a type of pleural effusion characterized by the presence of chyle in the pleural space with triglyceride levels >110 mg/dL or evidence of chylomicrons in pleural fluid. Chylous effusion is typically exudative in nature with lymphocytic predominance. Transudative chylothorax is a rare finding which has been associated with only a limited range of clinical settings. We report a case of idiopathic transudative chylothorax for which the etiological cause could not be identified despite extensive workup and it resolved spontaneously after thoracentesis.