title: Chyloptysis after ligation of the thoracic duct.
abstract: Chyloptysis is a very rare clinical finding. We describe a 44-year-old man who presented with cough and milky-white sputum. Fiberoptic bronchoscopy revealed white sputum, which originated from the right B(6) bronchus. The finding of elevated triglyceride levels in his sputum led to the diagnosis of chyloptysis. He had a surgical history of ligation of the thoracic duct for idiopathic chylopericarditis 7 years-previously. He also suffered from postoperative bilateral empyema. Since then, his pleural cavity has been adhered bilaterally. It is thought that his abnormal postoperative lymphatic flow caused the chyloptysis.
authors.affiliation: Department of Respiratory Medicine, Hamamatsu Medical Center, Japan. S.kato@hmedc.or.jp
authors.forename: Shinpei
authors.initials: S
authors.lastname: Kato
authors.forename: Hiroki
authors.initials: H
authors.lastname: Umezawa
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Yano
authors.forename: Takashi
authors.initials: T
authors.lastname: Ogasawara
authors.forename: Norio
authors.initials: N
authors.lastname: Kasamatsu
authors.forename: Ikko
authors.initials: I
authors.lastname: Hashizume
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000378:metabolism; D001982:Bronchial Diseases / Q000175:diagnosis* / Q000178:diet therapy / Q000209:etiology*; D001999:Bronchoscopy; D018752:Diet, Fat-Restricted; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D008297:Male; D010490:Pericardial Effusion / Q000601:surgery*; D013183:Sputum / Q000378:metabolism*; D013897:Thoracic Duct / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014280:Triglycerides / Q000378:metabolism*
chemical_list: D015415:Biomarkers; D014280:Triglycerides