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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


SOLIS-TORRES, Jeffry  and  MENDEZ-JIMENEZ, Edgar. Bilateral chylothorax after a blunt chest trauma. Acta méd. costarric [online]. 2014, vol.56, n.3, pp.125-127. ISSN 0001-6002.

The presence of chyle in the chest cavity is known as chylothorax. It is usually secondary to the disruption of the thoracic duct or one of its branches or due to an alterationin the flow of lymph. Some of the causes of chylothorax are: trauma, tumors, miscellaneous or idiopathic. It is associated with high morbidity and mortality. The management of thiscondition can be conservative or surgical. We report the case of a sixteen-year-old patient, who was involved in a motorcycle accident and suffered bluntthoracic trauma, thus developing bilateral chylothorax. He was treated conservatively through bilateral cheste tube insertion, parenteral nutrition and administration of  somatostatin. There was a gradual drop in chyle production, the left chest tube was removed after eleven days and the right one after sixteen. Chest x-rays did not show any residual pleural fluid and the patient was discharged.

Keywords : chylothorax; pleural cavity; somatostatin; parenteral nutrition.

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