Spontaneous chylothorax complicating small cell lung cancer – Review of aetiology and diagnosis
S. Hanina, C. Vivekananthan, R. Randhawa and 3 more
Respiratory Medicine Case Reports · 2015
doi:10.1016/j.rmcr.2015.02.005 (opens in a new tab)
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Abstract
We report the first case of spontaneous chylothorax complicating small cell lung cancer. A 52 year old female presented with exertional dyspnoea, left-sided chest and neck pain, and dysphagia. The chest X-ray on admission revealed a large left-sided pleural effusion. A subsequent CT chest showed a large anterior mediastinal mass with a left brachiocephalic and jugular vein thrombosis. The patient underwent medical thoracoscopy with chest drain insertion, which drained pleural fluid high in triglycerides, consistent with a chylothorax. Due to its uncommon nature, the management of chylothorax is not well defined. Alongside the case report, we provide a review of aetiology, mechanism and diagnosis with a brief summary of treatment options.
Abstract licence: CC BY-NC
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