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A rare case of nephrotic syndrome with chylothorax
Chylothorax is an infrequent cause of pleural effusion that is most commonly caused by the obstruction or disruption of the thoracic duct. Chylothorax is rare in nephrotic syndrome. Unilateral chylothorax of the right side is due to the transdiaphragmatic shunting of chylous ascites. It is usually t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565148/ https://www.ncbi.nlm.nih.gov/pubmed/34760780 http://dx.doi.org/10.4103/jfmpc.jfmpc_2605_20 |
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author | Singh, Saurabh K. Chauhan, Ajay Swain, Bishakha |
author_facet | Singh, Saurabh K. Chauhan, Ajay Swain, Bishakha |
author_sort | Singh, Saurabh K. |
collection | PubMed |
description | Chylothorax is an infrequent cause of pleural effusion that is most commonly caused by the obstruction or disruption of the thoracic duct. Chylothorax is rare in nephrotic syndrome. Unilateral chylothorax of the right side is due to the transdiaphragmatic shunting of chylous ascites. It is usually transient and self-limiting but a massive chylothorax requiring therapeutic thoracentesis can also be encountered. Here, we present a rare cause of chylous ascites–nephrotic syndrome resulting in chylothorax, where initially therapeutic thoracentesis is done followed by the management of nephrotic syndrome with modified Ponticelli regimen. This case highlights the need to consider chylous ascites as a cause of chylothorax via transdiaphragmatic shunting in patients with nephrotic syndrome to institute the appropriate treatment. |
format | Online Article Text |
id | pubmed-8565148 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-85651482021-11-09 A rare case of nephrotic syndrome with chylothorax Singh, Saurabh K. Chauhan, Ajay Swain, Bishakha J Family Med Prim Care Case Report Chylothorax is an infrequent cause of pleural effusion that is most commonly caused by the obstruction or disruption of the thoracic duct. Chylothorax is rare in nephrotic syndrome. Unilateral chylothorax of the right side is due to the transdiaphragmatic shunting of chylous ascites. It is usually transient and self-limiting but a massive chylothorax requiring therapeutic thoracentesis can also be encountered. Here, we present a rare cause of chylous ascites–nephrotic syndrome resulting in chylothorax, where initially therapeutic thoracentesis is done followed by the management of nephrotic syndrome with modified Ponticelli regimen. This case highlights the need to consider chylous ascites as a cause of chylothorax via transdiaphragmatic shunting in patients with nephrotic syndrome to institute the appropriate treatment. Wolters Kluwer - Medknow 2021-09 2021-09-30 /pmc/articles/PMC8565148/ /pubmed/34760780 http://dx.doi.org/10.4103/jfmpc.jfmpc_2605_20 Text en Copyright: © 2021 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Singh, Saurabh K. Chauhan, Ajay Swain, Bishakha A rare case of nephrotic syndrome with chylothorax |
title | A rare case of nephrotic syndrome with chylothorax |
title_full | A rare case of nephrotic syndrome with chylothorax |
title_fullStr | A rare case of nephrotic syndrome with chylothorax |
title_full_unstemmed | A rare case of nephrotic syndrome with chylothorax |
title_short | A rare case of nephrotic syndrome with chylothorax |
title_sort | rare case of nephrotic syndrome with chylothorax |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565148/ https://www.ncbi.nlm.nih.gov/pubmed/34760780 http://dx.doi.org/10.4103/jfmpc.jfmpc_2605_20 |
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