Recurrent chylothorax as a consequence of esophageal stent

Incidence of chylothorax post-esophageal stenting has not been reported. We present a 40-year-old female with metastatic breast cancer who presented with dyspnea. She was recently hospitalized for dysphagia secondary to a mediastinal mass requiring an esophageal stent. CT chest now reported large bi...

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Main Authors: Daisy Young, Alice Mei, Elnaz Mahbub, Andrew Grees, Garry Lachhar, Kenneth D'Souza, Muhammad Perwaiz
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007123000229
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author Daisy Young
Alice Mei
Elnaz Mahbub
Andrew Grees
Garry Lachhar
Kenneth D'Souza
Muhammad Perwaiz
author_facet Daisy Young
Alice Mei
Elnaz Mahbub
Andrew Grees
Garry Lachhar
Kenneth D'Souza
Muhammad Perwaiz
author_sort Daisy Young
collection DOAJ
description Incidence of chylothorax post-esophageal stenting has not been reported. We present a 40-year-old female with metastatic breast cancer who presented with dyspnea. She was recently hospitalized for dysphagia secondary to a mediastinal mass requiring an esophageal stent. CT chest now reported large bilateral pleural effusions. A benign chylothorax was drained from the right side. After persistent high-output drainage, a review of her CT chest revealed thoracic duct impingement by the esophageal stent. The stent was retracted proximally, and pleural fluid output subsequently decreased. Repeat fluid analysis revealed a transudative effusion. This is the first reported case of esophageal stenting causing reversible chylothorax.
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spelling doaj.art-3179e84907464163bfad2e64f05748b92023-05-07T04:16:45ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0143101827Recurrent chylothorax as a consequence of esophageal stentDaisy Young0Alice Mei1Elnaz Mahbub2Andrew Grees3Garry Lachhar4Kenneth D'Souza5Muhammad Perwaiz6Fellow of Pulmonary and Critical Care Medicine, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY, 11373, USA; Corresponding author. 79-01 Broadway, Elmhurst, NY, 11373, USA.Stony Brook Southampton Hospital, 240 Meeting House Lane, Southampton, NY, 11968, USAStony Brook Southampton Hospital, 240 Meeting House Lane, Southampton, NY, 11968, USAStony Brook Southampton Hospital, 240 Meeting House Lane, Southampton, NY, 11968, USAStony Brook Southampton Hospital, 240 Meeting House Lane, Southampton, NY, 11968, USAFellow of Pulmonary and Critical Care Medicine, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY, 11373, USAIcahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY, 11373, USAIncidence of chylothorax post-esophageal stenting has not been reported. We present a 40-year-old female with metastatic breast cancer who presented with dyspnea. She was recently hospitalized for dysphagia secondary to a mediastinal mass requiring an esophageal stent. CT chest now reported large bilateral pleural effusions. A benign chylothorax was drained from the right side. After persistent high-output drainage, a review of her CT chest revealed thoracic duct impingement by the esophageal stent. The stent was retracted proximally, and pleural fluid output subsequently decreased. Repeat fluid analysis revealed a transudative effusion. This is the first reported case of esophageal stenting causing reversible chylothorax.http://www.sciencedirect.com/science/article/pii/S2213007123000229ChylothoraxEsophageal stentThoracic duct
spellingShingle Daisy Young
Alice Mei
Elnaz Mahbub
Andrew Grees
Garry Lachhar
Kenneth D'Souza
Muhammad Perwaiz
Recurrent chylothorax as a consequence of esophageal stent
Respiratory Medicine Case Reports
Chylothorax
Esophageal stent
Thoracic duct
title Recurrent chylothorax as a consequence of esophageal stent
title_full Recurrent chylothorax as a consequence of esophageal stent
title_fullStr Recurrent chylothorax as a consequence of esophageal stent
title_full_unstemmed Recurrent chylothorax as a consequence of esophageal stent
title_short Recurrent chylothorax as a consequence of esophageal stent
title_sort recurrent chylothorax as a consequence of esophageal stent
topic Chylothorax
Esophageal stent
Thoracic duct
url http://www.sciencedirect.com/science/article/pii/S2213007123000229
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AT kennethdsouza recurrentchylothoraxasaconsequenceofesophagealstent
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