Chylothorax secondary to gunshot wound.
BACKGROUND
Chylothorax is the occurrence of chyle in the pleural space due to damage or obstruction of the thoracic duct. Its etiology can be traumatic or nontraumatic. Traumatic lesion of the thoracic duct occurs after accidents or cardiothoracic surgery. Non-Hodgkin's lymphoma is the most frequent nontraumatic etiology. Milky aspect and high content of triglycerides in pleural fluid confirm the diagnosis. The objective of this paper is to present a case of chylothorax secondary to shotgun lesion as well as to review current concepts about chylothorax and its treatment.


METHODS
We present the case of a 33-year-old male patient with chylothorax secondary to gunshot lesion. Management was based on fasting, parenteral nutrition and pleural drainage. Patient's evolution was satisfactory.


CONCLUSIONS
Chylothorax is an entity associated with high morbidity and mortality. Early diagnosis and appropriate treatment are essential.
Carrillo-Esper
Raúl
R
Unidad de Terapia Intensiva, Fundación Clínica Médica Sur, México, DF, Mexico. seconcapcma@mail.medinet.net.mx
Sosa-García
Jesús Ojino
JO
Carrillo-Córdova
Carlos Alberto
CA
D000328:Adult; D002916:Chylothorax / Q000209:etiology*; D006801:Humans; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications*