Bilateral traumatic chylothorax: a complication of fracture-dislocation of the T-spine.
Zhonghua Yi Xue Za Zhi (Taipei)
; 52(3): 194-7, 1993 Sep.
Article
em En
| MEDLINE
| ID: mdl-8252462
ABSTRACT
Traumatic chylothorax is a rare complication of fracture-dislocation of the thoracic spine. Not treated adequately, it will be associated with high mortality and morbidity. A review of the English literature shows that bilateral traumatic chylothorax is rarely discussed. A case is presented of fracture-dislocation of the third thoracic vertebra combined with bilateral traumatic chylothorax following a motor vehicle accident. The mechanism of injury is described. The management strategies are, initially, conservative treatment including chest tube drainage, NPO with total parenteral nutrition (TPN), followed by medium-chain triglyceride diet. Without improvement, surgical measures such as mediastinal ligation of the thoracic duct should be considered.
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Base de dados:
MEDLINE
Assunto principal:
Vértebras Torácicas
/
Fraturas da Coluna Vertebral
/
Quilotórax
/
Luxações Articulares
Idioma:
En
Ano de publicação:
1993
Tipo de documento:
Article