A case of chylothorax after resection of right chest wall giant schwannoma

DOI Web Site 2 References
  • Tsukamoto Yo
    Department of Surgery, Jikei University Kashiwa Hospital
  • Odaka Makoto
    Department of Surgery, Jikei University Kashiwa Hospital
  • Nakada Takeo
    Department of Surgery, Jikei University Kashiwa Hospital
  • Yabe Mitsuo
    Department of Surgery, Jikei University Kashiwa Hospital
  • Akiba Tadashi
    Department of Surgery, Jikei University Kashiwa Hospital
  • Ohtsuka Takashi
    Department of Surgery, Division of Thoracic Surgery, Jikei University School of Medicine

Bibliographic Information

Other Title
  • 右胸壁巨大神経鞘腫切除後に乳糜胸を来した1例

Search this article

Abstract

<p>We herein report the case of a patient with chylothorax following the resection of a giant schwannoma of the right chest wall. A 66-year-old female with abnormal chest radiograph findings on medical examination was referred to our hospital. Chest computed tomography revealed a 12-cm mass in the right chest cavity. On magnetic resonance imaging, the mass exhibited a high signal intensity in T1-weighted images and low signal intensity in T2-weighted images, consistent with a cystic tumor. The patient underwent open thoracotomy and tumor resection. The pathological diagnosis was schwannoma. Chylous pleural effusion was observed in the chest tube after a meal on the day after surgery. Despite conservative therapy with drainage and fasting, the amount of daily drainage was persistently more than 1000 mL. On postoperative day 7, she underwent thoracoscopic surgery. There was no damage to the thoracic duct, but chyle leak from the chest wall was observed. The thoracic duct and site of the chyle leak were closed with clipping, which led to a reduction in the chylous drainage to 200 mL/day. The pleural effusion completely resolved following pleurodesis with 10KE of OK432, 14 days after the re-operation.</p>

Journal

References(2)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top