Spontaneous chylothorax associated with light physical activity.
Chylothorax occurs when there is rupture, laceration or obstruction of the thoracic duct, resulting in the release of chyle into the pleural space. Chylothorax can occur in cases of congenital lymphatic malformation, lymphoma, mediastinal tumor and infectious disease, as well as during surgical procedures and after traffic accident-related trauma. It can also be idiopathic. The condition presents clinical signs of dyspnea, hypotension, generalized edema and cyanosis. The diagnosis is usually made through thoracocentesis, and the treatment is conservative. Spontaneous chylothorax is an uncommon form of pleural effusion, and its diagnosis should be hypothesized only after all other causes have been ruled out. Herein, we describe a case of spontaneous chylothorax associated with light physical activity at a fitness center.
Torrejais
José Carlos Miranda
JC
Universidade Federal do Paraná, Curitiba, PR, Brasil. funpul@hc.ufpr.br
Rau
Carolina Borges
CB
de Barros
João Adriano
JA
Torrejais
Márcia Miranda
MM
D002916:Chylothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015444:Exercise; D005260:Female; D006801:Humans; D008875:Middle Aged; D019152:Paracentesis