title: Refractory chylothorax following a transhepatic gunshot wound to the abdomen requiring unorthodox surgical treatment.
abstract: An 18 year-old-male sustained a gunshot wound to the abdomen which required an uneventful hepatorrhaphy. He later returned with a large right effusion and was diagnosed with a chylothorax. The output was persistent despite conservative measures. Thoracotomy with attempted thoracic duct ligation was unsuccessful at decreasing the output. Re-exploration and ligation of the thoracic duct was required thru an abdominal approach.
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Cestero
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Bukhary
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Eddy
authors.initials: E
authors.lastname: Carrillo
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Rosenthal
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pepe
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Rafael
authors.initials: R
authors.lastname: Sanchez
authors.affiliation: Memorial Regional Hospital, Florida, USA.
authors.forename: Seong K
authors.initials: SK
authors.lastname: Lee