Chylothorax is defined as accumulation of chyle in the pleural space. Various aetiologies have been identified. Direct injury to the thoracic duct following gunshot injury is rare. When it occurs close to the point of entry into the confluence of the internal jugular and subclavian veins, it can lead to massive chylothorax with devastating consequences. A case of gunshot to the root of the neck with massive chylothorax with haemodynamic instability is hereby presented.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijcts.20190501.14 |
| Page(s) | 18-20 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Chylothorax, Gunshot Injury, Thoracic Duct
| [1] | McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic option. Respiratory Medicine. 2010;104:1-8. |
| [2] | Bessone LN, Ferguson TB, Burford TH. Chylothorax. Ann Thorac Surg 1971; 12 (5): 527-50. |
| [3] | Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg. 2007; 32: 362-9. |
| [4] | Fairfax AJ, McNabb WR, Spiro SG. Chylothorax: a review of 18 cases. Thorax 1986; 41: 880-5. |
| [5] | Pillay TG, Singh B. A review of traumatic chylothorax. Injury. 2016; 47 (3): 545-50. |
| [6] | Orringer MB, Bluett M, Deeb GM. Aggressive treatment of chylothorax complicating transhiatal esophagectomy without thoracotomy. Surgery 1988; 104 (4): 720e6. |
| [7] | Cestero J, Bukhary H, Carrillo E, Rosenthal H, Pepe A, Sanchez R, Lee SK. Refractory chylothorax following a transhepatic gunshot wound to the abdomen requiring unorthodox surgical treatment. J Surg Case Rep. 2010; (6): 3. |
| [8] | Doerr CH, Allen MS, Nichols FC, Ryu JH. Etiology of chylothorax in 203 patients. Mayo Clin Proc 2005; 80: 867-870. |
| [9] | Servelle M, et al. Spontaneous, post-operative and trau- matic chylothorax. J Cardiovasc Surg (Torino) 1980; 21 (4): 475-86. |
| [10] | Worthington MG, et al. Isolated thoracic duct injury after penetrating chest trauma. Ann Thorac Surg 1995; 60 (2): 272-4. |
| [11] | Carrillo Esper R, Sosa-Garcia JO, Carrillo-Cordova CA. chylothorax secondary to gunshot wound. Cir Cir. 2009; 77 (6): 447-449. |
| [12] | Sendama W, Shipley M. Traumatic chylothorax: A case report and review. Respir Med Case Rep. 2015; 14: 47-8. |
| [13] | Grant PW, Brown SW. Traumatic chylothorax: a case report. Aust N Z J surg report. 1991; 61: 798-800. |
| [14] | De Beer HG, Mol MJ, Janssen JP. Chylothorax. Neth J Med 2000; 56 (1): 25-31. |
| [15] | Philippakis GE, Moustardas MP. Successful pleurodesis for refractory chylothorax due chronic lymphocytic leukaemia. Int J Sur Case Rep. 2012; (3): 167-169. |
| [16] | Rizzardi G, et al. Persistent chylothorax in lymphangioleiomyomatosis treated by intrapleural instillation of povidone. Eur J Cardiothorac Surg 2008; 34 (1): 214-5. |
| [17] | Weissberg D, Ben-Zeev I. Talc pleurodesis. Experience with 360 patients. J Thorac Cardiovasc Surg 1993; 106 (4): 689-95. |
| [18] | Villanueva AG, Gray AW, Jr., Shahian DM, Williamson WA, Beamis JF., Jr. Efficacy of short term versus long term tube thoracostomy drainage before tetracycline pleurodesis in the treatment of malignant pleural effusions. Thorax. 1994; 49(1): 23–25. |
| [19] | Selle JG, Snyder WH III, Schreiber JT. Chylothorax: indication for surgery. Ann Surg 1973; 177: 245-9. |
| [20] | Mason PF, Thorpe JAC. Chylothorax: a new surgical strategy [letter]. Chest 1993; 103: 1929. |
| [21] | Nalukurthi SC, Kishore J, Samarasam I, Gnanamuthu BR, Paul MJ. Chyolothorax following thyroid surgery: A report of two cases and review of management strategies. World J Endoc Surg; 6 (3): 115-118. |
| [22] | Allison S, Rainey M, Aarabi S, et al. Traumatic laceration of the cisterna chyli treated by lymphangiography and percutaneous embolization. Cardiovasc Intervent Radiol. 2014; 37 (1): 267-70. |
APA Style
Abubakar Umar, Salisu Ismail, Abdullahi Abdulkarim Aitek, Aliyu Abdulrahman, Galadima Ibrahim, et al. (2019). Massive Chylothorax Following Gunshot Injury to the Left Supraclavicular Region: Case Report and Literature Review. International Journal of Cardiovascular and Thoracic Surgery, 5(1), 18-20. https://doi.org/10.11648/j.ijcts.20190501.14
ACS Style
Abubakar Umar; Salisu Ismail; Abdullahi Abdulkarim Aitek; Aliyu Abdulrahman; Galadima Ibrahim, et al. Massive Chylothorax Following Gunshot Injury to the Left Supraclavicular Region: Case Report and Literature Review. Int. J. Cardiovasc. Thorac. Surg. 2019, 5(1), 18-20. doi: 10.11648/j.ijcts.20190501.14
AMA Style
Abubakar Umar, Salisu Ismail, Abdullahi Abdulkarim Aitek, Aliyu Abdulrahman, Galadima Ibrahim, et al. Massive Chylothorax Following Gunshot Injury to the Left Supraclavicular Region: Case Report and Literature Review. Int J Cardiovasc Thorac Surg. 2019;5(1):18-20. doi: 10.11648/j.ijcts.20190501.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcts.20190501.14,
author = {Abubakar Umar and Salisu Ismail and Abdullahi Abdulkarim Aitek and Aliyu Abdulrahman and Galadima Ibrahim and Maishanu Moyijo},
title = {Massive Chylothorax Following Gunshot Injury to the Left Supraclavicular Region: Case Report and Literature Review},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {5},
number = {1},
pages = {18-20},
doi = {10.11648/j.ijcts.20190501.14},
url = {https://doi.org/10.11648/j.ijcts.20190501.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20190501.14},
abstract = {Chylothorax is defined as accumulation of chyle in the pleural space. Various aetiologies have been identified. Direct injury to the thoracic duct following gunshot injury is rare. When it occurs close to the point of entry into the confluence of the internal jugular and subclavian veins, it can lead to massive chylothorax with devastating consequences. A case of gunshot to the root of the neck with massive chylothorax with haemodynamic instability is hereby presented.},
year = {2019}
}
TY - JOUR T1 - Massive Chylothorax Following Gunshot Injury to the Left Supraclavicular Region: Case Report and Literature Review AU - Abubakar Umar AU - Salisu Ismail AU - Abdullahi Abdulkarim Aitek AU - Aliyu Abdulrahman AU - Galadima Ibrahim AU - Maishanu Moyijo Y1 - 2019/05/08 PY - 2019 N1 - https://doi.org/10.11648/j.ijcts.20190501.14 DO - 10.11648/j.ijcts.20190501.14 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 18 EP - 20 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20190501.14 AB - Chylothorax is defined as accumulation of chyle in the pleural space. Various aetiologies have been identified. Direct injury to the thoracic duct following gunshot injury is rare. When it occurs close to the point of entry into the confluence of the internal jugular and subclavian veins, it can lead to massive chylothorax with devastating consequences. A case of gunshot to the root of the neck with massive chylothorax with haemodynamic instability is hereby presented. VL - 5 IS - 1 ER -
Information
Email: