• Der Internist · Jan 2013

    Case Reports

    [Chylothorax in an 87-year-old patient].

    • M J Richter, R Baumgartner, and H H Leuchte.
    • Abteilung für Pneumologie, Medizinische Klinik II, Krankenhaus Neuwittelsbach, München, Deutschland.
    • Internist (Berl). 2013 Jan 1;54(1):105-9.

    AbstractAn 87-year-old woman presented with a left-sided pleural effusion. The milky aspirate fulfilled the criteria of a chylothorax. Thorax computed tomography (CT) showed characteristic multiple cysts and consequently the rare diagnosis of post-menopausal pulmonary lymphangioleiomyomatosis was made. In the diagnostic work-up of pleural effusion the determination of triglycerides should be considered to confirm the diagnosis of chylothorax. In the presence of a chylothorax the differential diagnosis of lymphangioleiomyomatosis should be included even in advanced age.

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