A Rare Case of Chylothorax in a Patient with Schimmelpenning Syndrome
Identifieur interne : 002E50 ( Main/Curation ); précédent : 002E49; suivant : 002E51A Rare Case of Chylothorax in a Patient with Schimmelpenning Syndrome
Auteurs : Bettina Schlolaut ; Hans Heinz Schild ; Joachim Pfannschmidt ; Dirk KaiserSource :
- The Thoracic and Cardiovascular Surgeon Reports [ 2194-7635 ] ; 2014.
Abstract
Chylothorax originating in a patient with Schimmelpenning syndrome is rare and poses a problem in diagnosis and treatment. A 22-year-old male was admitted with dyspnea indicative of a large pleural chylous effusion. Besides conservative dietary treatment measures, the chylous effusion was drained (2,000 mL/day). Computed tomography-lymphography after ligation of the thoracic duct and pleurectomy revealed a small collateral flow of chylous fluid toward the chest wall and entering the thorax. Eventually, local radiation therapy with 36 Gy effectively treated the chylothorax. Five months later, an epitheloid angiosarcoma developing from a preexisting cutaneous lesion was detected and treated by surgical resection.
Url:
DOI: 10.1055/s-0034-1394162
PubMed: 25798367
PubMed Central: 4360691
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PMC:4360691Le document en format XML
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