Agustin Michael, Yamamoto Michele, Tongma Chawat, Chua Leslie Anne, Torres Michael, Shay Scott
Guam Regional Medical City, 133 Route 3, Dededo Guam, USA 96929.
Case Rep Pulmonol. 2020 Feb 21;2020:3979507. doi: 10.1155/2020/3979507. eCollection 2020.
Chylothorax is the occurrence of chyle (lymph) in the pleural cavity secondary to damage of the thoracic duct. It is a rare form of pleural effusion which appears as a milky white turbid fluid. Malignancy is the leading cause of nontraumatic chylothorax while inadvertent surgical injury to the thoracic duct is the major cause of traumatic chylothorax. We report a case of spontaneous left-side chylothorax following septic pulmonary embolization (SPE) with Methicillin-Resistant Staphylococcus aureus (MRSA). This is a rare case of a nonmalignant, nontraumatic, and nontuberculous spontaneous chylothorax which was conservatively treated with fibrinolysis and diet modification.
乳糜胸是指继发于胸导管损伤后乳糜（淋巴液）在胸腔内积聚。它是一种罕见的胸腔积液形式，表现为乳白色浑浊液体。恶性肿瘤是非创伤性乳糜胸的主要原因，而胸导管的意外手术损伤是创伤性乳糜胸的主要原因。我们报告一例由耐甲氧西林金黄色葡萄球菌（MRSA）引起的脓毒性肺栓塞（SPE）后自发性左侧乳糜胸病例。这是一例罕见的非恶性、非创伤性、非结核性自发性乳糜胸，通过纤维蛋白溶解和饮食调整进行保守治疗。
