title: Bilateral chylhotorax after falling from height.
abstract: Chylothorax is accumulation of chyle in the pleural cavity due to disruption of the thoracic duct. The causes can be classified as neoplastic, traumatic (iatrogenic or noniatrogenic), congenital, sporadic, spontaneous, and miscellaneous. A 22-year-old man with no feature in his history and family history was referred to emergency department with the case of falling from height. Abdominal computed tomogram (CT) revealed laceration of liver, grade 5 splenic laceration, fracture of the left acetabulum, and dislocation of the left hip. He was optimized for emergency splenectomy and close left hip reduction. On the 2nd day of the operation, bilateral chylotorax revealed. The treatment depends on its etiology, the amount of drainage, and the clinical picture. Treatment can be classified into 3 categories treatment of the underlying condition, conservative management (such as bed rest, nil by mouth or low fat medium chain triglycerides by mouth and total parenteral nutrition), and surgical management by ligation or clipping of the thoracic duct with open thoracotomy or video-assisted thoracoscopic surgery. The main purpose of surgical treatment is to stop the chylous leak.
authors.affiliation: Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Vildan
authors.initials: V
authors.lastname: Akpinar
authors.affiliation: Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Fulya Yilmaz
authors.initials: FY
authors.lastname: Duran
authors.affiliation: Thoracic Surgery Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Duman
authors.affiliation: Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Murat Yasar
authors.initials: MY
authors.lastname: Ozkalkanli
authors.affiliation: Emergency Medicine Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Ozgür
authors.initials: O
authors.lastname: Duran
authors.affiliation: Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, Turkey.
authors.forename: Burcu
authors.initials: B
authors.lastname: Horsanali
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