Patrick J H
J Bone Joint Surg Br. 1976 Aug;58(3):347-9. doi: 10.1302/0301-620X.58B3.956254.
A rare complication of massive osteolysis (disappearing bones, Gorham's disease)is presented--namely involvement and invasion of the thoracic duct by the angiomatous tissue spreading locally from involved upper thoracic vertebrae. The resultant chylothorax in our patient was investigated and the site of the lymphatic fistula established by lymphography. Operative obliteration of the chylous leak was successfully achieved and the patient has survived. A review of the literature shows this complication to have been fatal in six other cases, including Gorham's first patient.
本文报告了一种罕见的大量骨质溶解（骨质消失，即戈勒姆病）并发症——即血管瘤组织从受累的上胸椎局部蔓延，累及并侵犯胸导管。对我们患者出现的乳糜胸进行了研究，并通过淋巴管造影确定了淋巴瘘的部位。手术成功地闭塞了乳糜漏，患者得以存活。文献回顾显示，包括戈勒姆的首例患者在内，其他6例该并发症患者均已死亡。
