TRAUMATIC CHYLOTHORAX WITH THORACIC VERTEBRA FRACTURE : A CASE REPORT

DOI
  • HAGIWARA Kazuki
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • KOBAYASHI Tatsuho
    Aizu Chuo Hospital (Emergency and Critical Care Medicine)
  • MATSUMOTO Takashi
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • KAWASHIMA Yuta
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • YANAGISAWA Masahiko
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • KAWANO Yosuke
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • MATSUMOTO Gaku
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • MIYAZAKI Yoshibumi
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • IWASE Hiroaki
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • INOUE Jun-ichi
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)
  • IWASE Fumiaki
    Yamanashi Prefectural Central Hospital (Emergency and Critical Care Medicine)

Bibliographic Information

Other Title
  • 胸椎脱臼骨折に合併した胸管損傷の一例

Search this article

Description

<p>　　A 40-year-old man who had hit his back against a large tree was brought to the hospital by helicopter and admitted. Computed tomography imaging demonstrated fracture of the 10th thoracic vertebra, hemothorax, multiple rib fractures, and liver injury. On day 11, pleural effusion increased and we drained 1500 mL of fluid from the chylothorax. We started conservative management with a non-oral feeding regimen, but the volume of the chyle leak did not decrease. On day 30, thoracic duct embolization was attempted, but was unsuccessful. Thoracotomy for thoracic duct ligation was performed on day 36. Postoperatively, the chyle leak decreased in volume. On day 63, the patient was transferred to a rehabilitation hospital. Traumatic chylothorax is very rare. If the volume of chyle leakage is high, early thoracic duct ligation may be required. To identify the injury site, lymphangiography and lymphatic scintigraphy are useful.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top