• Can J Surg · Apr 1997

    Case Reports

    Chylothorax after blunt chest trauma: a report of 2 cases.

    • J S Ikonomidis, B R Boulanger, and F D Brenneman.
    • Department of Surgery, Sunnybrook Health Science Centre, University of Toronto, Ont.
    • Can J Surg. 1997 Apr 1;40(2):135-8.

    AbstractChylothorax is a rare complication of blunt chest trauma and is associated with fracture-dislocation of the thoracic spine in only 20% of these cases. Two cases of chylothorax after blunt chest injury are described in this paper; 1 was related to a fracture of the third thoracic vertebra. Closed chest drainage and total parenteral nutrition led to resolution of the condition within 3 weeks in both cases. In general, traumatic chylothorax should be managed conservatively for at least 4 weeks before surgical intervention is considered.

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