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Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection
To the best of our knowledge, there have been no previous reports of chylothorax developing after pancreatectomy, although chylous ascites can occur. In patients with a pleuroperitoneal communication, ascitic fluid can flow into the thoracic cavity through a small hole in the diaphragm. A 70-year-ol...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344917/ https://www.ncbi.nlm.nih.gov/pubmed/30697412 http://dx.doi.org/10.1093/jscr/rjy364 |
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author | Hayashi, Kazuki Hanaoka, Jun Ohshio, Yasuhiko Igarashi, Tomoyuki |
author_facet | Hayashi, Kazuki Hanaoka, Jun Ohshio, Yasuhiko Igarashi, Tomoyuki |
author_sort | Hayashi, Kazuki |
collection | PubMed |
description | To the best of our knowledge, there have been no previous reports of chylothorax developing after pancreatectomy, although chylous ascites can occur. In patients with a pleuroperitoneal communication, ascitic fluid can flow into the thoracic cavity through a small hole in the diaphragm. A 70-year-old woman underwent total pancreatectomy and was referred to our department for treatment of right chylothorax after removal of her abdominal drainage tubes. An occult pleuroperitoneal communication was detected, and the portion of the diaphragm containing a diaphragmatic fistula was resected using a surgical stapler. After surgery, the chylothorax resolved, but chylous ascites developed. We speculated that this was a rare case of chylous ascites that flowed into the thoracic cavity through a diaphragmatic fistula after a pancreatic resection. When a patient develops chylothorax after an abdominal operation, the combination of a pleuroperitoneal communication and chylous ascites must be considered. |
format | Online Article Text |
id | pubmed-6344917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-63449172019-01-29 Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection Hayashi, Kazuki Hanaoka, Jun Ohshio, Yasuhiko Igarashi, Tomoyuki J Surg Case Rep Case Report To the best of our knowledge, there have been no previous reports of chylothorax developing after pancreatectomy, although chylous ascites can occur. In patients with a pleuroperitoneal communication, ascitic fluid can flow into the thoracic cavity through a small hole in the diaphragm. A 70-year-old woman underwent total pancreatectomy and was referred to our department for treatment of right chylothorax after removal of her abdominal drainage tubes. An occult pleuroperitoneal communication was detected, and the portion of the diaphragm containing a diaphragmatic fistula was resected using a surgical stapler. After surgery, the chylothorax resolved, but chylous ascites developed. We speculated that this was a rare case of chylous ascites that flowed into the thoracic cavity through a diaphragmatic fistula after a pancreatic resection. When a patient develops chylothorax after an abdominal operation, the combination of a pleuroperitoneal communication and chylous ascites must be considered. Oxford University Press 2019-01-24 /pmc/articles/PMC6344917/ /pubmed/30697412 http://dx.doi.org/10.1093/jscr/rjy364 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Hayashi, Kazuki Hanaoka, Jun Ohshio, Yasuhiko Igarashi, Tomoyuki Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title | Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title_full | Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title_fullStr | Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title_full_unstemmed | Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title_short | Chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
title_sort | chylothorax secondary to a pleuroperitoneal communication and chylous ascites after pancreatic resection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344917/ https://www.ncbi.nlm.nih.gov/pubmed/30697412 http://dx.doi.org/10.1093/jscr/rjy364 |
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