Hepatic Chylothorax: An Uncommon Pleural Effusion
An 83-year-old male with chronic obstructive pulmonary disease and liver cirrhosis presented with confusion and dyspnea. On chest X-ray, he had the right mid to lower lung zone white out. Ultrasound-guided thoracentesis drained 1.5 L of milky white pleural fluid which was transudative according to c...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-01-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096221150634 |
| _version_ | 1797951777334624256 |
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| author | Aelia Akbar MD, MPH Tara Hendrickson MD Avinash Vangara MD Stanley Marlowe DO Akbar Hussain MD Subramanya Shyam Ganti MBBS, MD |
| author_facet | Aelia Akbar MD, MPH Tara Hendrickson MD Avinash Vangara MD Stanley Marlowe DO Akbar Hussain MD Subramanya Shyam Ganti MBBS, MD |
| author_sort | Aelia Akbar MD, MPH |
| collection | DOAJ |
| description | An 83-year-old male with chronic obstructive pulmonary disease and liver cirrhosis presented with confusion and dyspnea. On chest X-ray, he had the right mid to lower lung zone white out. Ultrasound-guided thoracentesis drained 1.5 L of milky white pleural fluid which was transudative according to chemical analysis. Transudative chylothorax in liver cirrhosis without ascites is rare, but can happen. When the flow of ascitic chylous fluid into the pleural space equals the rate of ascites production, clinical absence of detectable ascites will occur. Hepatic chylothorax is important and should be kept in differentials when evaluating patients with liver cirrhosis. |
| first_indexed | 2024-04-10T22:35:59Z |
| format | Article |
| id | doaj.art-366e42e585cd46cda5c555406586aaf4 |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-04-10T22:35:59Z |
| publishDate | 2023-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-366e42e585cd46cda5c555406586aaf42023-01-16T14:03:46ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962023-01-011110.1177/23247096221150634Hepatic Chylothorax: An Uncommon Pleural EffusionAelia Akbar MD, MPH0Tara Hendrickson MD1Avinash Vangara MD2Stanley Marlowe DO3Akbar Hussain MD4Subramanya Shyam Ganti MBBS, MD5Appalachian Regional Healthcare, Harlan, KY, USAAppalachian Regional Healthcare, Harlan, KY, USAAppalachian Regional Healthcare, Harlan, KY, USAAppalachian Regional Healthcare, Harlan, KY, USAAppalachian Regional Healthcare, Harlan, KY, USAAppalachian Regional Healthcare, Harlan, KY, USAAn 83-year-old male with chronic obstructive pulmonary disease and liver cirrhosis presented with confusion and dyspnea. On chest X-ray, he had the right mid to lower lung zone white out. Ultrasound-guided thoracentesis drained 1.5 L of milky white pleural fluid which was transudative according to chemical analysis. Transudative chylothorax in liver cirrhosis without ascites is rare, but can happen. When the flow of ascitic chylous fluid into the pleural space equals the rate of ascites production, clinical absence of detectable ascites will occur. Hepatic chylothorax is important and should be kept in differentials when evaluating patients with liver cirrhosis.https://doi.org/10.1177/23247096221150634 |
| spellingShingle | Aelia Akbar MD, MPH Tara Hendrickson MD Avinash Vangara MD Stanley Marlowe DO Akbar Hussain MD Subramanya Shyam Ganti MBBS, MD Hepatic Chylothorax: An Uncommon Pleural Effusion Journal of Investigative Medicine High Impact Case Reports |
| title | Hepatic Chylothorax: An Uncommon Pleural Effusion |
| title_full | Hepatic Chylothorax: An Uncommon Pleural Effusion |
| title_fullStr | Hepatic Chylothorax: An Uncommon Pleural Effusion |
| title_full_unstemmed | Hepatic Chylothorax: An Uncommon Pleural Effusion |
| title_short | Hepatic Chylothorax: An Uncommon Pleural Effusion |
| title_sort | hepatic chylothorax an uncommon pleural effusion |
| url | https://doi.org/10.1177/23247096221150634 |
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