Transjugular Intrahepatic Portosystemic Shunt

Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration of the thoracic duct by malignancy, trauma, or thoracic surgery. Transudative chylous pleural effusions are extremely rare. We report a case of a 63-year-old male with recurrent transudati...

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Bibliographic Details
Published inCase reports in medicine Vol. 2019
Main Authors Koirala, Ashish, Chowdhry, Monica, Noorani, Muhammad Muslim, Mohamed, Hesham, Khaliq, Muhammad Farhan
Format Journal Article
LanguageEnglish
Published John Wiley & Sons, Inc 01.03.2020
Subjects
Health aspects
Liver cirrhosis
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Summary:Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration of the thoracic duct by malignancy, trauma, or thoracic surgery. Transudative chylous pleural effusions are extremely rare. We report a case of a 63-year-old male with recurrent transudative chylothorax secondary to cirrhosis that completely resolved with transjugular intrahepatic portosystemic shunting (TIPS). Transudative chylous pleural effusion is an extremely rare entity with only a few cases reported in the literature to date. Transudative chylothorax can occur in patients with liver cirrhosis. Recognizing this association will prevent unnecessary testing and procedures. Timely diagnosis and early initiation of treatment are pivotal in preventing complications from malnutrition and infection by preventing loss of electrolytes, immunoglobulins, and T-lymphocytes.
ISSN:1687-9627