title: Chylothorax after left side pneumothorax surgery managed by OK-432 pleurodesis: an effective alternative.
abstract: Chylothorax, a relatively rare complication of thoracic surgery, mostly occurs on the right side. We present a 16-year-old male who received thoracoscopic surgery for left spontaneous pneumothorax. Chylothorax developed on the postoperative 2(nd) day and resolved after diet control on the 4(th) day. Unfortunately, chylothorax recurred 2 weeks later. Chest drainage and nil per os with total parental nutrition were given but in vain. Thereafter, chemical pleurodesis with OK-432 was performed. Chylothorax resolved on the next day. The relevant literature is reviewed and possible pathogenesis clarified.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
authors.forename: Sheng-Yang
authors.initials: SY
authors.lastname: Huang
authors.affiliation: Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan, ROC.
authors.forename: Chou-Ming
authors.initials: CM
authors.lastname: Yeh
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC; National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC. Electronic address: cmchou@vghtc.gov.tw.
authors.forename: Chia-Man
authors.initials: CM
authors.lastname: Chou
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
authors.forename: Hou-Chuan
authors.initials: HC
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000818:Animals; D002916:Chylothorax / Q000628:therapy*; D006801:Humans; D008297:Male; D010844:Picibanil / Q000627:therapeutic use*; D018700:Pleurodesis / Q000379:methods*; D011030:Pneumothorax / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*
chemical_list: D010844:Picibanil
keywords: chylothorax; pleurodesis; pneumothorax