Forgotten Chemo-Port Leading to Chylothorax: A Rare Presentation
Keywords:
Chemo-Port, Chylothorax, superior vena cava thrombosisAbstract
Chylothorax is an uncommon cause of pleural effusion in routine clinical practice. Thoracic surgery, trauma and malignancy are the leading causes of chylothorax accounting for more than 90% of cases.1,2 We report this rare case of a middle aged lady with treated carcinoma breast who presented with left-sided chylothorax secondary to subclavian vein and superior vena cava thrombosis caused by a longstanding indwelling chemo-port in the right internal jugular vein. Patient was managed on total parenteral nutrition (TPN) leading to complete resolution of chylothorax.
References
2. Doerr CH, Allen MS, Nichols FC 3rd, Ryu JH. Etiology of chylothorax in 203 patients. Mayo Clin Proc 2005; 80: 867.
3. Staats BA, Ellefson RW, Budahn LL, Dines DE, Prakash UB, Offord K. The lipoprotein profile of chylous and non- chylous pleural effusions. Mayo Clin Proc. 1980 ;55: 700-4.
4. Strausser JL, Flye MW. Management of non-traumatic chylothorax. Ann Thorac Surg. 1981; 31: 520-6.
5. Kho SS, Tie ST, Chan SK, Yong MC, Chai SL, Voon PJ. Chylothorax and central vein thrombosis, an under-recognized association: a case series. Respirol Case Rep. 2017 Feb 24;5(3)
6. Jensen GL, Mascioli EA, Meyer LP, Lopes SM, Bell SJ, Babayan VK, Blackburn GL, Bistrian BR. Dietary modification of chyle composition in chylothorax. Gastroenterology. 1989 Sep; 97(3): 761-5.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Publisher
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.