• Revue médicale suisse · Feb 2016

    [Diagnosis, management and treatment of chylothorax].

    • Marie-Éva Laurencet, Omar Kherad, John Robert, and Alain Bigin Younossian.
    • Rev Med Suisse. 2016 Feb 3; 12 (504): 245-9.

    AbstractChylothorax is characterized by a milky pleural effusion that results from the injury to the thoracic duct, causing leakage of chyle into the pleural space. Its diagnosis relies primarily, on the determination of triglycerides and/or the identification of chylomicrons in the pleural fluid. The most common causes are traumatic, mainly after surgery. Among non-traumatic causes, tumors are the most frequent (like lymphomas). Conservative treatment is based on pleural drainage with a low fat diet and appropriate etiological approach. In case of failure, occlusion of the thoracic lymph duct should be considered, either by a surgical approach or interventional radiology.

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