title: Chylous hip joint effusion and bone absorption after total hip arthroplasty in a patient with chylocolporrhoea: a case of Gorham's disease.
abstract: Chyle is a sterile, milky fluid consisting of lymph and emulsified fats that is formed in the small intestines and taken up by lymph vessels. Chylous effusions usually occur after destruction or obstruction of lymphatic channels, and chylous joint effusions have been reported in association with rheumatoid and/or septic arthritis, and as the result of penetrating trauma to subsynovial fatty tissue and the intra-articular fat pad. We report a case of bone absorption and lytic change in the femur associated with a chylous hip joint effusion after a total hip arthroplasty (THA) in a patient with chylocolporrhoea and a history of chylous ascites.
authors.affiliation: Department of Surgery, Orthopaedics, Cathay General Hospital, Taipei County 24205 - Taiwan and Fu Jen Catholic University, Hsinchuang, Taipei County 24205 - Taiwan.
authors.forename: Cheng-Aun
authors.initials: CA
authors.lastname: Tan
authors.forename: Perng-Jong
authors.initials: PJ
authors.lastname: Chen
authors.forename: Tan-Kue
authors.initials: TK
authors.lastname: Liu
authors.forename: Po-Wen
authors.initials: PW
authors.lastname: Shen
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D002915:Chylous Ascites / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005269:Femur; D006621:Hip Joint; D006801:Humans; D006833:Hydrarthrosis / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D010015:Osteolysis, Essential / Q000175:diagnosis* / Q000209:etiology