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Schurz M, Petras N, Platzer P, et al. Delayed Chylothorax Following Blunt Chest Trauma. Eur J Trauma Emerg Surg. 2009;36(1):76-80doi: 10.1007/s00068-009-8127-z.
Schurz, M., Petras, N., Platzer, P., Hofbauer, F., & Vécsei, V. (2010). Delayed Chylothorax Following Blunt Chest Trauma. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 36(1), 76-80. https://doi.org/10.1007/s00068-009-8127-z
Schurz, Mark, et al. "Delayed Chylothorax Following Blunt Chest Trauma." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 36,1 (2010): 76-80. doi: https://doi.org/10.1007/s00068-009-8127-z
Schurz M, Petras N, Platzer P, Hofbauer F, Vécsei V. Delayed Chylothorax Following Blunt Chest Trauma. Eur J Trauma Emerg Surg. 2010 Feb;36(1):76-80. doi: 10.1007/s00068-009-8127-z. Epub 2009 Mar 16. PMID: 26815574.
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Eur J Trauma Emerg Surg. 2010 Feb;36(1):76-80. doi: 10.1007/s00068-009-8127-z. Epub 2009 Mar 16.

Delayed Chylothorax Following Blunt Chest Trauma.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Mark Schurz, Nina Petras, Patrick Platzer, Friedrich Hofbauer, Vilmos Vécsei

Affiliations

  1. Department of Trauma Surgery, Vienna Medical University, Vienna, Austria. [email protected].
  2. Department of General Surgery, General Hospital Oberpullendorf, Oberpullendorf, Austria. [email protected].
  3. Universitätsklinik für Unfallchirurgi, Vienna, Austria. [email protected].
  4. Universitätsklinik für Unfallchirurgie, Währinger Gürtel 18-20, 1090, Vienna, Austria. [email protected].
  5. Department of Trauma Surgery, Vienna Medical University, Vienna, Austria.
  6. Department of General Surgery, General Hospital Oberpullendorf, Oberpullendorf, Austria.

PMID: 26815574 DOI: 10.1007/s00068-009-8127-z

Abstract

Chylothorax is a very rare disease, and its diagnosis following blunt chest trauma is exceptional. Only a small number of cases have been reported in the literature. We report a case of a male patient involved in a car accident presenting a delayed chylothorax after blunt chest trauma with a bilateral serial rib fracture and fracture of the ninth thoracic vertebrae. The therapy includes thorax drainage, dietary modifications with total parenteral nutrition and, in severe cases, PEEP ventilation. Hematological monitoring is mandatory to detect metabolic abnormalities resulting from chyle loss. Surgical treatment is only required in cases of persistent or increasing intrathoracal chyle flow. Thoracoscopic ligation of the thoracic duct is then required.Severe consequences, such as cardiopulmonary abnormalities and metabolic, nutritional and immunologic disorders, can result from chylothorax. Our patient was treated successfully by chest drainage and parenteral nutrition.

Keywords: Bilateral serial rib fracture; Blunt chest trauma; Chylothorax; Thoracovertebral fracture

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