title: Mediastinal chyloma after lung cancer surgery: case report.
abstract: BACKGROUND
  Chylothorax is a relatively rare but well-known complication of thoracic surgery.
  
  
  METHODS
  A 70-year-old man underwent right upper and middle bilobectomy and systematic lymph node dissection through a posterolateral thoracotomy for lung cancer. On the second postoperative day, he developed chylothorax that was treated with dietary management and pleurodesis. The discharge diminished and his chest tube was removed on the ninth postoperative day. On the 14(th) postoperative day, the patient complained of dyspnea and dysphagia, and imaging studies revealed mediastinal chyloma. Thoracoscopic surgical drainage was performed and the site of chyle leakage was sutured.
  
  
  CONCLUSIONS
  This report presents an unexpected complication of chemical pleurodesis and reviews the indications for surgical intervention in cases of postoperative chylothorax.
authors.affiliation: Division of Thoracic Surgery, National Hospital Organization Yamaguchi-Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi, 755-0241, Japan. furukawam@yamaguchi-hosp.jp.
authors.forename: Masashi
authors.initials: M
authors.lastname: Furukawa
authors.affiliation: Division of Thoracic Surgery, National Hospital Organization Yamaguchi-Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi, 755-0241, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tao
authors.affiliation: Division of Thoracic Surgery, National Hospital Organization Yamaguchi-Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi, 755-0241, Japan.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Tanaka
authors.affiliation: Division of Thoracic Surgery, National Hospital Organization Yamaguchi-Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi, 755-0241, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Okabe
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging / Q000601:surgery; D018700:Pleurodesis; D011013:Pneumonectomy / Q000009:adverse effects*; D013897:Thoracic Duct / Q000601:surgery*
keywords: Chyloma; Chylothorax; Lung cancer; Pleurodesis