 |
Case Report
Blunt chest trauma causing chylothorax: A case report with literature review
1 Mosul cardiac center, Mosul, Iraq
2 Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, Sulaimani, Kurdista, Iraq
3 Kscien organization, Hamdi Str. Azadi mall, Sulaimani, Kurdistan region, Iraq
Address correspondence to:
Fahmi H. Kakamad
Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, Sulaimani, Kurdistan,
Iraq
Message to Corresponding Author
Article ID: 100015C04OA2018
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Ahmed OF, Kakamad FH, Mohammed SH, Aziz MS. Blunt chest trauma causing chylothorax: A case report with literature review. Edorium J Cardiothorac Vasc Surg 2018;5:100015C04OA2018.ABSTRACT
Inrtoduction: Blunt trauma is regarded as an extremely rare cause of chylothorax. The aim of this study is to report a case of traumatic chylothorax with review management strategy.
Case Report: A 42-year-old male presented with blunt chest trauma complaining from severe back pain. On examination, he was stable, fully conscious with bilateral good air entry. Chest X-ray was normal. Computed tomography scan (CT Scan) showed fracture of D 10 vertebral body with multiple bilateral rib fracture. The patient was admitted to the intensive care unit (ICU) for monitoring. Second day, he developed shortness of breath new chest-X-ray showed near complete opacification of the right hemi thorax. Chest tube was inserted which drained 500 cc of blood stained thick fluid on entrance. For the next two days, the drain was continuous in amount of 1200 cc/day. The color changed into milky fluid. biochemical studies showed high level of triglyceride and lymphocyte. The patient was treated conservatively.
Conclusion: Although extremely rare, chylothorax may complicate blunt chest trauma. Diagnosis should be confirmed by laboratory testing before addressing management. Conservative therapy is a main method of management.
Keywords: Blunt chest trauma, Chylothorax, Triglyceride
SUPPORTING INFORMATION
Author Contributions
Okba F. Ahmed - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fahmi H. Kakamad - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shvan H. Mohammed - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Masrur S Aziz - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Okba F. Ahmed et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
