title: Pleuroperitoneal shunt for chylothorax and chylopericardium in lung cancer: a case report.
abstract: A 70-year-old man with T1N3M1 stage IV squamous cell carcinoma in the right upper lobe of the lung developed chylothorax and chylopericardium as rare simultaneous complications. Intravenous hyperalimentation, repeated pleurodesis, and ligation of the thoracic duct were all ineffective. A pleuroperitoneal shunt was inserted into the right pleural cavity from the fifth intercostal space, and a peritoneal catheter was placed in the abdominal cavity. Chylothorax was markedly improved, and the quality of life of the patient increased. This case indicates that a pleuroperitoneal shunt can be used for lung cancer-related chylothorax, as well as for malignant pleural effusion.
authors.affiliation: Departments of Chest Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae, Kawasaki, Kanagawa, Japan. t2shinmyo@marianna-u.ac.jp
authors.forename: Takuo
authors.initials: T
authors.lastname: Shimmyo
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Morita
authors.forename: Masamichi
authors.initials: M
authors.lastname: Mineshita
authors.forename: Rie
authors.initials: R
authors.lastname: Tagaya
authors.forename: Koji
authors.initials: K
authors.lastname: Ando
authors.forename: Atsushi
authors.initials: A
authors.lastname: Mochizuki
authors.forename: Noriaki
authors.initials: N
authors.lastname: Kurimoto
authors.forename: Teruomi
authors.initials: T
authors.lastname: Miyazawa
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Osada
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000473:pathology; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D009367:Neoplasm Staging; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D035422:Pleural Cavity / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome