https://doi.org/10.4081/monaldi.2023.2684
Neck mass and bilateral pleural effusions in a 53-year-old female
Submitted: June 26, 2023
Accepted: September 18, 2023
Published: September 28, 2023
Accepted: September 18, 2023
Abstract Views: 280
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Chylothorax indicates the accumulation of chyle in the pleural cavity. It is a rare cause of pleural effusion, especially bilaterally. In clinical practice, the presence of milky fluid in the pleural cavity raises the suspicion of chylothorax. The most common cause is trauma, iatrogenic or non, owing to thoracic duct injury, which transports chyle from the lymphatic system into the bloodstream. The case we describe is of a 53-year-old female who was referred to our hospital with bilateral pleural effusions and a left supraclavicular mass. From the diagnostic studies, the nontraumatic causes of chylothorax were excluded. The potential diagnosis was traumatic chylothorax, a diagnosis of exclusion, as it appeared after muscle stretch and receded with a fat-free diet and repose without any relapse.
Ruiz de Villa A, Spencer S, Sircar S, et al. An unusual case of non-traumatic chylothorax. Cureus 2022;14:32506.
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Zarogiannis S, Hatzoglou C, Molyvdas PA, Gourgoulianis K. Yellow nail syndrome chylous pleural effusions: defective lymph valves involved? Chest 2008;134:1353.
DOI: https://doi.org/10.1378/chest.08-2021
Cholet C, Delalandre C, Monnier-Cholley L, Le Pimpec-Barthes. Nontraumatic chylothorax: nonenhanced MR lymphography. Radiographics 2020;40:1554-73.
DOI: https://doi.org/10.1148/rg.2020200044
Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. Respir Med 2019;157:7-13.
DOI: https://doi.org/10.1016/j.rmed.2019.08.014
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DOI: https://doi.org/10.1016/j.rmed.2009.08.010
Beg M, Arif H. Recurrent chylothorax in renal cell carcinoma. Cureus 2019;22:5196.
DOI: https://doi.org/10.7759/cureus.5196
Bottet B, Melki J, Levesque H, et al. [Stretching et chylothorax].[Article in French]. Rev Mal Respir 2019;36:742-6.
DOI: https://doi.org/10.1016/j.rmr.2019.04.004
How to Cite
Papathanasiou, Sophia K., Ilias E. Dimeas, Sotirios I. Sinis, Zoe Daniil, and Konstantinos I. Gourgoulianis. 2023. “Neck Mass and Bilateral Pleural Effusions in a 53-Year-Old Female”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2023.2684.
Copyright (c) 2023 The Author(s)
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