Hanna J, Truemper E, Burton E
Department of Pediatrics, Medical College of Georgia, Augusta 30912, USA.
Pediatr Nephrol. 1997 Feb;11(1):20-2. doi: 10.1007/s004670050225.
We report a 40-month-old black male with nephrotic syndrome who developed chylothorax associated with superior vena cava (SVC) thrombosis. To our knowledge, this is the third reported case of spontaneous SVC thrombosis in a nephrotic patient and the first in which chylothorax was also present. Ultrasonography of the pleura and thoracic vasculature was invaluable in making the diagnosis and monitoring the resolution of this condition during treatment. Contrary to previous reports, thoracic chylous effusions complicating uncontrolled nephrotic syndrome do not originate exclusively as a consequence of abdominal pathology, but rather as this case demonstrates, they can occur from lymphatic obstruction caused by thoracic vein thrombosis.
我们报告一名40个月大的患有肾病综合征的黑人男性，其出现了与上腔静脉（SVC）血栓形成相关的乳糜胸。据我们所知，这是肾病患者中第三例报告的自发性SVC血栓形成病例，也是第一例同时伴有乳糜胸的病例。胸膜和胸部血管的超声检查对于诊断以及在治疗期间监测该病症的消退非常重要。与先前的报告相反，使未控制的肾病综合征复杂化的胸腔乳糜性积液并非仅由腹部病变引起，而是如本病例所示，它们可由胸静脉血栓形成导致的淋巴阻塞引起。
