title: [Chylous effusions].
abstract: This paper presents 4 patients with chylothorax, and one patient with bilateral chylothorax and chyloperitoneum. The chylous effusions were of benign etiology, developed as a complication of miliary tuberculosis (1 patient), after L-2 vertebral body fracture (1 patient), and idiopathic (2 patients). The diagnosis was confirmed by the presence of chylomicrons and high content of triglycerides in the effusion, ranged 11.9-29.1 mmol/l. Lymphangiography showed multiple abnormalities of lymphatic system, the obstruction of ductus thoracicus, dilatation and convulsion of lymphatic channels, but the site of lymphatic leak was not detected. The treatment included an extended period of pleural and peritoneal drainage with total parenteral nutrition (1 patient), pleurodesis using Corynebacterium parvum (2 patients), and surgical partial parietal pleurectomy with continuous drainage (1 patient). The treatment was successful in all patients.
authors: Vojnomedicinska akademija, Klinika za plućne bolesti, Beograd.
authors: Ilija
authors: I
authors: Tomić
authors: Goran
authors: G
authors: Plavec
authors: Vukojica
authors: V
authors: Karlicić
authors: Vulèta
authors: V
authors: Spasić
authors: Sinisa
authors: S
authors: Rusović
authors: Vojkan
authors: V
authors: Stanić
authors: Vlado
authors: V
authors: Cvijanović
authors: Aleksandar
authors: A
authors: Ristanović
mesh_terms: D000328:Adult; D000368:Aged; D002916:Chylothorax / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D002915:Chylous Ascites / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male