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Chylothorax caused by blunt trauma: Case review and management proposal()

Chylothorax is a potentially devastating complication of lymphatic trauma of the thorax. To date, no recommendations have provided decision making support for prompt definitive treatment. We present a 53 year old male involved in a motor vehicle collision sustaining 9 left rib fractures with flail s...

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Detalles Bibliográficos
Autores principales: Bacon, Brandon T., Mashas, Wayne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256325/
https://www.ncbi.nlm.nih.gov/pubmed/32490128
http://dx.doi.org/10.1016/j.tcr.2020.100308
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author Bacon, Brandon T.
Mashas, Wayne
author_facet Bacon, Brandon T.
Mashas, Wayne
author_sort Bacon, Brandon T.
collection PubMed
description Chylothorax is a potentially devastating complication of lymphatic trauma of the thorax. To date, no recommendations have provided decision making support for prompt definitive treatment. We present a 53 year old male involved in a motor vehicle collision sustaining 9 left rib fractures with flail segments. He was treated non-operatively with a chest tube and no fat diet. A Case report review was performed and a proposed guideline for managing blunt trauma chylothorax in adult patients was developed. In low-output chylothorax, effective initial treatment begins with a no fat diet and chest tube. We propose that a low output leak be defined as <500 mL of initial output or <500 mL/day and can be managed non-operatively in nearly 100% of patients. High output injuries of >1000 mL of initial output will require surgical intervention and should be considered for prompt definitive care.
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spelling pubmed-72563252020-06-01 Chylothorax caused by blunt trauma: Case review and management proposal() Bacon, Brandon T. Mashas, Wayne Trauma Case Rep Case Report Chylothorax is a potentially devastating complication of lymphatic trauma of the thorax. To date, no recommendations have provided decision making support for prompt definitive treatment. We present a 53 year old male involved in a motor vehicle collision sustaining 9 left rib fractures with flail segments. He was treated non-operatively with a chest tube and no fat diet. A Case report review was performed and a proposed guideline for managing blunt trauma chylothorax in adult patients was developed. In low-output chylothorax, effective initial treatment begins with a no fat diet and chest tube. We propose that a low output leak be defined as <500 mL of initial output or <500 mL/day and can be managed non-operatively in nearly 100% of patients. High output injuries of >1000 mL of initial output will require surgical intervention and should be considered for prompt definitive care. Elsevier 2020-05-21 /pmc/articles/PMC7256325/ /pubmed/32490128 http://dx.doi.org/10.1016/j.tcr.2020.100308 Text en © 2020 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
Bacon, Brandon T.
Mashas, Wayne
Chylothorax caused by blunt trauma: Case review and management proposal()
title Chylothorax caused by blunt trauma: Case review and management proposal()
title_full Chylothorax caused by blunt trauma: Case review and management proposal()
title_fullStr Chylothorax caused by blunt trauma: Case review and management proposal()
title_full_unstemmed Chylothorax caused by blunt trauma: Case review and management proposal()
title_short Chylothorax caused by blunt trauma: Case review and management proposal()
title_sort chylothorax caused by blunt trauma: case review and management proposal()
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256325/
https://www.ncbi.nlm.nih.gov/pubmed/32490128
http://dx.doi.org/10.1016/j.tcr.2020.100308
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