Malego Niharika, Sapkota Ranjan, Sharma Aakriti, Thapaliya Pratikshya
Department of Cardio-Thoracic and Vascular Surgery Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University Kathmandu Nepal.
Respirol Case Rep. 2025 Feb 3;13(2):e70107. doi: 10.1002/rcr2.70107. eCollection 2025 Feb.
Chylothorax is the accumulation of chyle in the pleural cavity. Tuberculosis is one of its rarest causes. Diagnosis of chylothorax can be made by evaluation of triglycerides concentration in pleural fluid. It is primarily managed medically but surgery is indicated when the patients fail to improve after a trial of medical management. Here, we present a case of a 28-year man who developed chylothorax while undergoing anti-tuberculous treatment (ATT). After failing initial medical management, he underwent thoracic duct ligation with good result.
乳糜胸是乳糜在胸腔内积聚。结核病是其最罕见的病因之一。乳糜胸的诊断可通过评估胸腔积液中的甘油三酯浓度来进行。其主要治疗方式为内科治疗，但当患者在试行内科治疗后无改善时，则需进行手术治疗。在此，我们报告一例28岁男性在接受抗结核治疗（ATT）时发生乳糜胸的病例。在初始内科治疗失败后，他接受了胸导管结扎术，效果良好。
