Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report
Behçet's Disease (BD) is a multisystemic vasculitis which usually affects optical, genital, and oral mucosae and often reoccurs intermittently. Chylothorax is a very rare complication of BD which usually causes thrombosis in the major venous system. A 27-year-old man with a 10-year history of B...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2018-10-01
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| Series: | Journal of Tehran University Heart Center |
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| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/815 |
| _version_ | 1818532184134254592 |
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| author | Ertan Demirdaş Kıvanç Atılgan Cengiz Zafer Er Süleyman Emre Akın |
| author_facet | Ertan Demirdaş Kıvanç Atılgan Cengiz Zafer Er Süleyman Emre Akın |
| author_sort | Ertan Demirdaş |
| collection | DOAJ |
| description | Behçet's Disease (BD) is a multisystemic vasculitis which usually affects optical, genital, and oral mucosae and often reoccurs intermittently. Chylothorax is a very rare complication of BD which usually causes thrombosis in the major venous system. A 27-year-old man with a 10-year history of BD referred to our cardiovascular surgery department with symptoms of serious aches in the left arm, edema, and apparent veins on the left anterior chest wall. A total thrombosis of the left internal and external jugular veins and the left subclavian vein was observed. One month after a successful treatment and discharge, the patient returned to our clinic with symptoms of dyspnea and coughs. A chest radiograph showed a consolidated region. A milky liquid was aspirated through thoracocentesis from the left thorax, and its biochemical analysis helped us arrive at a diagnosis of chylothorax. The patient was hospitalized and administered corticosteroids and immunosuppressive therapy with a high-carbohydrate and low-fat dietary regimen for BD. Thereafter, a left thoracic drainage system was established. On the seventh day of hospitalization, due to a progressing cheilosis flow, a pleurodesis process was applied with talcum powder. However, the chylous drainage was continued and 60 mL of venous autologous blood was injected into the left thorax through a drainage tube. The treatment was successful, and the patient was discharged from the hospital uneventfully. At 1 month’s follow-up, the chest radiograph was normal. |
| first_indexed | 2024-12-11T17:42:11Z |
| format | Article |
| id | doaj.art-b845e08b93764b58bddc1a750f09d93f |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-11T17:42:11Z |
| publishDate | 2018-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-b845e08b93764b58bddc1a750f09d93f2022-12-22T00:56:30ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712018-10-0113410.18502/jthc.v13i4.642Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case ReportErtan Demirdaş0Kıvanç Atılgan1Cengiz Zafer Er2Süleyman Emre Akın3Department of Cardiovascular Surgery, Faculty of Medicine, Bozok University, Yozgat, Turkey.Department of Cardiovascular Surgery, Faculty of Medicine, Bozok University, Yozgat, Turkey.Department of Cardiovascular Surgery, Faculty of Medicine, Bozok University, Yozgat, Turkey.Yozgat State Hospital, Yozgat, Turkey.Behçet's Disease (BD) is a multisystemic vasculitis which usually affects optical, genital, and oral mucosae and often reoccurs intermittently. Chylothorax is a very rare complication of BD which usually causes thrombosis in the major venous system. A 27-year-old man with a 10-year history of BD referred to our cardiovascular surgery department with symptoms of serious aches in the left arm, edema, and apparent veins on the left anterior chest wall. A total thrombosis of the left internal and external jugular veins and the left subclavian vein was observed. One month after a successful treatment and discharge, the patient returned to our clinic with symptoms of dyspnea and coughs. A chest radiograph showed a consolidated region. A milky liquid was aspirated through thoracocentesis from the left thorax, and its biochemical analysis helped us arrive at a diagnosis of chylothorax. The patient was hospitalized and administered corticosteroids and immunosuppressive therapy with a high-carbohydrate and low-fat dietary regimen for BD. Thereafter, a left thoracic drainage system was established. On the seventh day of hospitalization, due to a progressing cheilosis flow, a pleurodesis process was applied with talcum powder. However, the chylous drainage was continued and 60 mL of venous autologous blood was injected into the left thorax through a drainage tube. The treatment was successful, and the patient was discharged from the hospital uneventfully. At 1 month’s follow-up, the chest radiograph was normal.https://jthc.tums.ac.ir/index.php/jthc/article/view/815ChylothoraxBehcet syndromeVasculitisThrombosis |
| spellingShingle | Ertan Demirdaş Kıvanç Atılgan Cengiz Zafer Er Süleyman Emre Akın Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report Journal of Tehran University Heart Center Chylothorax Behcet syndrome Vasculitis Thrombosis |
| title | Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report |
| title_full | Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report |
| title_fullStr | Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report |
| title_full_unstemmed | Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report |
| title_short | Treatment of Chylothorax with Pleurodesis, a Lesser Known Complication of Behçet's Disease: A Case Report |
| title_sort | treatment of chylothorax with pleurodesis a lesser known complication of behcet s disease a case report |
| topic | Chylothorax Behcet syndrome Vasculitis Thrombosis |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/815 |
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