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Case Reports in Surgery
Volume 2014 (2014), Article ID 618708, 3 pages
http://dx.doi.org/10.1155/2014/618708
Case Report

Bilateral Chylhotorax after Falling from Height

1Anaesthesiology and Reanimation Department, Bozyaka Training and Research Hospital, İzmir, Turkey
2Thoracic Surgery Department, Bozyaka Training and Research Hospital, İzmir, Turkey
3Emergency Medicine Department, Bozyaka Training and Research Hospital, İzmir, Turkey

Received 24 December 2013; Revised 6 June 2014; Accepted 13 June 2014; Published 26 June 2014

Academic Editor: Angelo Carretta

Copyright © 2014 Vildan Akpinar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chylothorax is accumulation of chyle in the pleural cavity due to disruption of the thoracic duct. The causes can be classified as neoplastic, traumatic (iatrogenic or noniatrogenic), congenital, sporadic, spontaneous, and miscellaneous. A 22-year-old man with no feature in his history and family history was referred to emergency department with the case of falling from height. Abdominal computed tomogram (CT) revealed laceration of liver, grade 5 splenic laceration, fracture of the left acetabulum, and dislocation of the left hip. He was optimized for emergency splenectomy and close left hip reduction. On the 2nd day of the operation, bilateral chylotorax revealed. The treatment depends on its etiology, the amount of drainage, and the clinical picture. Treatment can be classified into 3 categories treatment of the underlying condition, conservative management (such as bed rest, nil by mouth or low fat medium chain triglycerides by mouth and total parenteral nutrition), and surgical management by ligation or clipping of the thoracic duct with open thoracotomy or video-assisted thoracoscopic surgery. The main purpose of surgical treatment is to stop the chylous leak.