Bilateral Chylothorax: Which is to Blame?
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.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.