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肝硬化患者的漏出性乳糜胸:一例报告。

Transudative chylothorax in a liver cirrhosis patient: A case report.

作者信息

Nganga Rose, Pulliam Christian, Sessions William, Stola Amber, Gregg Justin

机构信息

University of South Carolina School of Medicine, Greenville, SC, 29605, USA.

Prisma Health Upstate, Department of Internal Medicine, Greenville, SC, 29605, USA.

出版信息

Respir Med Case Rep. 2022 Aug 19;39:101731. doi: 10.1016/j.rmcr.2022.101731. eCollection 2022.

Abstract

Chylothorax defines chyle in the pleural space, usually from defects in thoracic duct. Chylothoraces are usually exudative, as defined by light's criteria but in rare instances, chylothoraces can be transudative. The leading cause of non-traumatic chylothorax is malignancy, but a non-traumatic chylothorax can be a rare manifestation of liver cirrhosis. In this case report, we present a case of an 82-year-old male with a history of non-alcoholic liver cirrhosis requiring multiple paracenteses for chylous ascites in the past, who was found to have a transudative non-traumatic chylothorax. His chylothorax existed despite his ascites being resolved for over a year. We will describe this case of a transudative chylothorax associated with liver cirrhosis and discuss the common findings associated with chylothoraces.

摘要

乳糜胸是指胸腔内出现乳糜液,通常源于胸导管的缺陷。根据Light标准,乳糜胸通常为渗出液,但在罕见情况下,乳糜胸也可为漏出液。非创伤性乳糜胸的主要病因是恶性肿瘤,但非创伤性乳糜胸也可能是肝硬化的罕见表现。在本病例报告中,我们呈现了一例82岁男性患者,其既往有非酒精性肝硬化病史,曾因乳糜性腹水多次接受腹腔穿刺术,现发现患有漏出性非创伤性乳糜胸。尽管他的腹水已消退一年多,但乳糜胸依然存在。我们将描述这例与肝硬化相关的漏出性乳糜胸病例,并讨论乳糜胸的常见表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b268/9425071/d48da0318b7b/gr1.jpg

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