Cespedes R D, Peretsman S J, Harris M J
Department of Urology, Wilford Hall Medical Center, San Antonio, Texas.
J Urol. 1993 Dec;150(6):1895-7. doi: 10.1016/s0022-5347(17)35927-x.
We report a case of chylo-retroperitoneum and chylothorax following an uneventful left radical nephrectomy for renal cell carcinoma, and propose the mechanism of an infradiaphragmatic lymphatic injury with fistulous connection into the chest. Treatment with oral medium chain triglycerides was unsuccessful. Subsequently, total parenteral nutrition in conjunction with chest drainage, retroperitoneal drainage and sclerotherapy successfully treated the chylothorax. To our knowledge chylothorax following radical nephrectomy has not been reported previously in the literature.
我们报告了一例在肾细胞癌行左根治性肾切除术后发生乳糜性腹膜后腔和乳糜胸的病例，并提出了膈肌下淋巴管损伤并与胸腔形成瘘管连接的机制。口服中链甘油三酯治疗未成功。随后，全胃肠外营养联合胸腔引流、腹膜后引流和硬化治疗成功治愈了乳糜胸。据我们所知，根治性肾切除术后发生乳糜胸此前在文献中尚未有报道。
