J Med Assoc Thai 2008; 91 (3):417

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Iatrogenic Chylothorax in Major Burn Patient: Case Report and Literature Review
Muangman P Mail, Scott JR , Muangman S , Benjathanung R , Suvanchote S

Chylothorax is a potentially life-threatening form of pleural effusion containing lymphatic fluid. Its
etiology may be either traumatic (either post-operative or a direct result of injury), a congenital abnormality
of the thoracic duct, or non-traumatic. This is a case report of a left iatrogenic chylothorax, which developed
2 days after internal jugular vein catheterization, in a patient with 50% total body surface area (TBSA) burns.
This complication was treated successfully by tube thoracostomy and oral supplementation with a low fat,
high carbohydrate, high protein diet. Further, the authors review the etiology, pathogenesis, clinical presentation
and recommended management of catheter-related chylothorax.

Keywords: Chylothorax, Burn, Catheter


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