Iatrogenic chylothorax in major burn patient: case report and literature review.
Chylothorax is a potentially life-threatening form of pleural effusion containing lymphatic fluid. Its etiology may be either traumatic (either post-operative or a direct result of injury), a congenital abnormality of the thoracic duct, or non-traumatic. This is a case report of a left iatrogenic chylothorax, which developed 2 days after internal jugular vein catheterization, in a patient with 50% total body surface area (TBSA) burns. This complication was treated successfully by tube thoracostomy and oral supplementation with a low fat, high carbohydrate, high protein diet. Further the authors review the etiology, pathogenesis, clinical presentation and recommended management of catheter-related chylothorax.
Muangman
Pornprom
P
Burn Unit, Trauma Division, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. pmuangman@yahoo.com
Scott
Jeffrey R
JR
Muangman
Saipin
S
Benjathanung
Rachanee
R
Suvanchote
Supaparn
S
D002056:Burns / Q000150:complications*; D002404:Catheterization / Q000009:adverse effects; D002916:Chylothorax / Q000178:diet therapy / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013907:Thoracostomy