Bilateral Chylothorax: Which is to Blame?

Authors

  • Tuğba Şişmanlar Eyüboğlu Dr Sami Ulus Maternity and Children Research and Training Hospital
  • Zühre Kaya Gazi University Medicine Faculty
  • Odul Egritas Gurkan Gazi University Medicine Faculty
  • Anıl Aktas Gazi University Medicine Faculty
  • Oznur Konus Boyunaga Gazi University Medicine Faculty
  • Ayse Tana Aslan Gazi University Medicine Faculty
  • Ilhan Altan Gazi University Medicine Faculty
  • Idil Yenicesu Gazi University Medicine Faculty
  • Ulker Kocak Gazi University Medicine Faculty

Abstract

Chylothorax is a rare condition in children with various traumatic and non traumatic etiologies. It is very important to determine the etiology for the management. Herein, we report a 16 year-old boy with a history of monosomy 7 positive refractory AML, stem cell transplantation, gastrointestinal graft versus host disease, invasive aspergillosis and bilateral chylothorax with multiple suspected etiologies.

Author Biographies

Tuğba Şişmanlar Eyüboğlu, Dr Sami Ulus Maternity and Children Research and Training Hospital

Pediatric Pulmonology

Zühre Kaya, Gazi University Medicine Faculty

Pediatric Hematology

Odul Egritas Gurkan, Gazi University Medicine Faculty

Pediatric Gastroenterology

Anıl Aktas, Gazi University Medicine Faculty

Pediatric Infectious Disease

Oznur Konus Boyunaga, Gazi University Medicine Faculty

Radiology

Ayse Tana Aslan, Gazi University Medicine Faculty

Pediatric Pulmonology

Ilhan Altan, Gazi University Medicine Faculty

Pediatric Hematology

Idil Yenicesu, Gazi University Medicine Faculty

Pediatric Hematology

Ulker Kocak, Gazi University Medicine Faculty

Pediatric Hematology

References

McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med 2010;104:1-8.

Soto-Martinez M, Massie J. Chylothorax: diagnosis and management in children. Paediatr Respir Rev 2009;10:199-207.

Tanrıverdi H, Uygur F, Tilkan OK, Gokce M, Tor M. Chylothorax due to leukemic infiltration in a patient with chronic lymphocytic leukemia. Respir Med Case Rep 2015;16:131-3.

Thomson AH, Sivalingham S, Rajesh PB, Elyan SA. Chylothorax after radiotherapy in oesophageal carcinoma. Lancet Oncol 2003;4:703-4.

Fernandez FG, Denlinger CE, Patterson GA, Kreisel D, Krupnick AS. Massive bilateral chylothoraces complicating mediastinal granulomatous disease. Ann Thorac Surg 2009;88:1012-3.

Bielsa S, Pardina M, Porcel JM. Chylothorax due to enlarged tuberculous lymph nodes. BMJ Case Rep 2014;2014.

McWilliams A, Gabbay E. Chylothorax occurring 23 years post-irradiation: literature review and management strategies. Respirology 2000;5:301-3.

Lee YC, Tribe AE, Musk AW. Chylothorax from radiation-induced mediastinal fibrosis. Aust N Z J Med 1998;28:667-8.

Zoetmulder F, Rutgers E, Baas P. Thoracoscopic ligation of a thoracic duct leakage. Chest 1994;106:1233-4.

Bender B, Murthy V, Chamberlain RS. The changing management of chylothorax in the modern era. Eur J Cardiothorac Surg 2016;49:18-24.

Downloads

Published

30.09.2017