Chylothorax is the accumulation of chyle in the pleural space. Chylothorax can be due to many etiologies, which are classified as nontraumatic (usually the result of malignancy, congenital conditions, or infection) and traumatic (usually the result of surgery or nonsurgical trauma).

Drainage: Sudden increase in the amount of drainage from drains, particularly in conjunction with the consumption of fatty foods. Imaging: A chest x-ray and chest ultrasound are used to confirm pleural fluid as well as show the location of and measure the size of the effusion.

2024年7月28日 · In postsurgical patients, chylothorax is often first detected as a pleural effusion or by persistent drainage from indwelling chest tubes. Depending on the amount and location of the fluid, decreased breath sounds and dullness to …

Chylothorax is a condition where fluid from your lymphatic system (chyle) leaks into the space around your lungs. Damage to or blockages in your lymphatic vessels in your chest can cause it. Surgery is the most common cause. Treatments include temporary diet changes, draining and surgical procedures. What is chylothorax?

2022年6月19日 · Drainage can be performed via periodic thoracentesis or tube thoracostomy, with the latter being preferred in those with rapid recurrence requiring in-patient management. Dietary modification should be considered in all patients.

A chylothorax is suspected or diagnosed when a milky white chylous fluid is draining from the chest of a patient receiving oral or enteral nutrition. The image below demonstrates serosanguinous output in a right chest tube and milky output (chyle) from the left chest in patient after coronary bypass grafting.

The diagnosis of a chyle leak is often subjective, and diagnostic criteria may vary. To confirm that a fluid is chylous, the lipid content should be greater than that of plasma and the protein should be more than half of that of plasma (1). A milky appearance of the drainage fluid is often the initial clue. One simple method sev-

2022年12月16日 · Thoracentesis: Initial conservative management in symptomatic patients involves placement of a thoracostomy tube to drain the chyle from the pleural space, allow the lungs to expand, and relieve intrathoracic pressure.

Chyle leaks are when your lymphatic vessels become damaged, and chyle — a fluid — leaks into nearby tissues, causing swelling and other symptoms. Most chyle leaks occur as rare but serious complications of surgery. Healthcare providers often treat chyle leaks with diet, rest and medication. Cleveland Clinic is a non-profit academic medical center.

Postoperative chylothorax is a major complication in pulmonary surgery, although the incidence rate is 0.25%–3%. 1, 2) The chylothorax often presents as a pleural effusion or milky effluent from the thoracic cavity with an increased chest drainage, and generally associated with feeding.