Bougioukas I, Seipelt R, Huwer H
Thoraxchirurgische Abteilung des LungenZentrums Saar, SHG-Kliniken, Völklingen.
Pneumologie. 2018 Dec;72(12):851-854. doi: 10.1055/a-0767-7882. Epub 2018 Nov 19.
An 82-year-old male patient presented with a left-sided spontaneous chylothorax. A computed tomographic scan of the chest revealed a cystic tumor in the right upper anterior mediastinum and nodules in the left mediastinum that we interpreted as enlarged lymph nodes. On suspicion of lymphoma and for therapy of chylothorax, we performed a left-sided thoracotomy. The putative lymph nodes proved to be chylomas. We interpret the right-sided mediastinal tumor as cystic lymphangioma causing the left-sided chylothorax at the junction of thoracic duct and venous system on the right side.
一名82岁男性患者出现左侧自发性乳糜胸。胸部计算机断层扫描显示右上纵隔前部有一个囊性肿瘤，左纵隔有结节，我们将其解释为肿大的淋巴结。因怀疑淋巴瘤并为治疗乳糜胸，我们进行了左侧开胸手术。结果发现所谓的淋巴结是乳糜瘤。我们认为右侧纵隔肿瘤为囊性淋巴管瘤，在右侧胸导管与静脉系统交界处导致左侧乳糜胸。
