Forgotten Chemo-Port Leading to Chylothorax: A Rare Presentation

Forgotten Chemo-Port Leading to Chylothorax: A Rare Presentation

Authors

  • Pradeep Bajad All india institute of medical sciences, Jodhpur, rajasthan
  • Avinash B Department of Pulmonary, Critical Care & Sleep Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan
  • Naveen Dutt Department of Pulmonary, Critical Care & Sleep Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan
  • Ram Niwas Department of Pulmonary, Critical Care & Sleep Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan
  • Pawan Kumar Garg Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
  • Pushpinder Khera Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
  • Nishant Kumar Chauhan Department of Pulmonary, Critical Care & Sleep Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan

Keywords:

Chemo-Port, Chylothorax, superior vena cava thrombosis

Abstract

Chylothorax is an uncommon cause of pleural effusion in routine clinical practice. Thoracic surgery, trauma and malignancy are the leading causes of chylothorax accounting for more than 90% of cases.1,2 We report this rare case of a middle aged lady with treated carcinoma breast who presented with left-sided chylothorax secondary to subclavian vein and superior vena cava thrombosis caused by a longstanding indwelling chemo-port in the right internal jugular vein. Patient was managed on total parenteral nutrition (TPN) leading to complete resolution of chylothorax.

References

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2. Doerr CH, Allen MS, Nichols FC 3rd, Ryu JH. Etiology of chylothorax in 203 patients. Mayo Clin Proc 2005; 80: 867.
3. Staats BA, Ellefson RW, Budahn LL, Dines DE, Prakash UB, Offord K. The lipoprotein profile of chylous and non- chylous pleural effusions. Mayo Clin Proc. 1980 ;55: 700-4.
4. Strausser JL, Flye MW. Management of non-traumatic chylothorax. Ann Thorac Surg. 1981; 31: 520-6.
5. Kho SS, Tie ST, Chan SK, Yong MC, Chai SL, Voon PJ. Chylothorax and central vein thrombosis, an under-recognized association: a case series. Respirol Case Rep. 2017 Feb 24;5(3)
6. Jensen GL, Mascioli EA, Meyer LP, Lopes SM, Bell SJ, Babayan VK, Blackburn GL, Bistrian BR. Dietary modification of chyle composition in chylothorax. Gastroenterology. 1989 Sep; 97(3): 761-5.

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Published

14-03-2022

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How to Cite

1.
Forgotten Chemo-Port Leading to Chylothorax: A Rare Presentation. Acta Biomed [Internet]. 2022 Mar. 14 [cited 2024 Jun. 21];93(1):e2022031. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/11080