| A Case of Idiopathic Chylothorax Treated with Pleuroperitoneal Shunt |
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Sung Ho Jung, Dong Un Kim, Yoon Kyung Lee, Byung Joon Choi, Jin Tack Kim, Ik Jun Lee |
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Department of Pediatrics, College of Medicine, Catholic University, Seoul, Korea |
| 흉막강-복강 단락술로 치료한 원발성 유미흉 1례 |
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정성호, 김동언, 이윤경, 최병준, 김진택, 이익준 |
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가톨릭대학교 의과대학 소아과학교실 |
Correspondence:
Sung Ho Jung, Email: 1
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| Abstract |
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Chylothorax is an accumulation of lymphatic fluid or chyle in the pleurual cavity resulting from a leak of the thoracic duct or one of its major divisions. If the loss of chyle persist, life threatening nutritional and immunologic deficiencies ensue. Initial conservative managements consist of tube thoracostomy drainage and dietary modification(low fat diet and total parenteral nutrition). In some refarctory cases, surgical intervention is required. Pleuroperitoneal shunt is an alternative surgical method recommended prior to thoracic duct ligation. The shunted fluid in the peritoneal cavity is reabsorbed by peritoenal lymphatic vessels running to join the right lymphatic duct. We experienced a case of chylothorax in a two-month-old female infant. Because there was no underlying disease to cause chylothorax, the diagnosis of idiopathic chylothorax was made. She failed to respond to conservative management and showed severe hypoalbuminemia and lymphopenia. On day 22, a pleuroperitoneal shunt was inserted between the right pleural cavity and the peritoneal cavity. Three weeks after insertion of the shunt, there was no fluid in the right pleural space. After one more week of observation, the shunt was removed. |
| Key Words:
Chylothorax, Pleuroperitoneal shunt |
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