Yazicioglu Alkin, Yazici Ulku, Aydin Ertan, Karaoglanoglu Nurettin
Department of Thoracic Surgery, Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.
Thorac Cardiovasc Surg. 2014 Jun;62(4):372-4. doi: 10.1055/s-0032-1311543. Epub 2012 Oct 3.
Chyloptysis and chylomediastinum are uncommon complications of various kinds of thoracic operations, malign and nonmalign diseases. In the English language medical literature, there were no cases of both chylomediastinum and chyloptysis following trauma. We discuss a case of chylomediastinum and chyloptysis after penetrating trauma. The patient sustained a bullet wound that caused chylomediastinum and chyloptysis without damaging major structures apart from the thoracic duct in the mediastinum. Following surgical intervention, the patient has remained problem-free for 5 months.
乳糜痰和乳糜胸是各类胸科手术、恶性和非恶性疾病的罕见并发症。在英文医学文献中,尚无创伤后同时发生乳糜胸和乳糜痰的病例。我们讨论一例穿透性创伤后发生乳糜胸和乳糜痰的病例。患者遭受枪伤,除纵隔内胸导管外未损伤主要结构,却导致了乳糜胸和乳糜痰。经过手术干预,患者已5个月无问题。