Home 
Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.11, p.674–675, 2015
Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.11, p.674–675, 2015
Journal info
|
||||
Select Journal
Journals
Bratislava Medical Journal 2024 Ahead of print 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 Endocrine Regulations General Physiology and Biophysics Neoplasma Acta Virologica Studia Psychologica Cardiology Letters Psychológia a patopsych. dieťaťa Kovove Materialy-Metallic Materials Slovenská hudbaWebshop Cart
Your Cart is currently empty.
Info: Your browser does not accept cookies. To put products into your cart and purchase them you need to enable cookies.
Bratislava Medical Journal Vol.116, No.11, p.674–675, 2015 |
||
| Title: Chylothorax – multidisciplinary solution | ||
| Author: K. Kovacicova, N. Omran, K. Habalova, K. Kaltofen | ||
| Abstract: Surgical treatment is not commonly used in the management of chylothorax. We describe a complicated algorithm that we used in treating a 70-year-old lady with Bechterev disease, who suffered from a blunt chest injury with subsequent right-sided serial ribs fracture with hemothorax and thoracic vertebral body fracture. Because of Bechterev disease, hyperextension of the ossified thoracic spine caused an injury of the thoracic lymphatic duct. Simultaneous thoracic spine stabilisation with surgical revision of the thoracic lymphatic duct from an anterior approach was indicated. Despite the urgency of thoracic spine stabilisation, the procedure was postponed due to an acute coronary syndrome, which implied drug eluting stent insertion with a subsequent need of dual anti platelet therapy. Thus, the procedure was done 16 days after stent insertion. The diagnosis of chylotorax must be considered in case of thoracic injury with continuing waste to the chest tube and the finding of well expanded pulmonary parenchyma. Biochemical investigation of the effusion is the cornerstone in establishing the diagnosis of chylothorax (Tab. 2, Fig. 1, Ref. 14). |
||
| Keywords: chest trauma, chylothorax, thoracic vertebrae fracture, ductus thoracicus. | ||
| Published online: 25-Nov-2015 | ||
| Year: 2015, Volume: 116, Issue: 11 | Page From: 674, Page To: 675 | |
| doi:10.4149/BLL_2015_131 |
||
|
|
 download file |
|