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肾移植受者单侧乳糜胸:一例报告。

Unilateral chylothorax in a renal transplant recipient: A case report.

作者信息

Amuda Bil'awal Ramadhan, Situmorang Gerhard Reinaldi, Rasyid Nur

机构信息

Department of Urology, Faculty of Medicine, University of Indonesia, Central Jakarta, Special Capital Region of Jakarta, Indonesia.

出版信息

Urol Case Rep. 2024 Dec 10;58:102905. doi: 10.1016/j.eucr.2024.102905. eCollection 2025 Jan.

Abstract

Chylothorax is accumulated lymphatic fluid in the pleural space. It rarely happens in end-stage renal illness patients, but possible causes are hospital-related. This case describes a 40-year-old man experiencing unilateral chylothorax after a kidney transplant. Left pleural cavity drainage shows a white, milky, cloudy, and odorless fluid. Fluid analysis findings were consistent with chylous. A chest tube was inserted, resulting in complete evacuation of fluid and total lungs expansion. No fluid accumulation was observed upon tube removal. Chylothorax is a rare complication of renal transplant. Conservative strategies with thoracostomy drainage and avoidance of oral intake and fluids are recommended.

摘要

乳糜胸是指胸腔内积聚淋巴液。在终末期肾病患者中很少发生,但可能的病因与医院相关。本病例描述了一名40岁男性在肾移植后发生单侧乳糜胸。左胸腔引流液呈白色、乳状、浑浊且无气味。液体分析结果与乳糜液相符。插入胸管后,液体完全排出,肺完全复张。拔管后未观察到液体积聚。乳糜胸是肾移植的一种罕见并发症。建议采用胸腔造口引流及避免经口摄入和补液的保守策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d635/11721510/71cb59cc7d01/gr1.jpg

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