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J Med Imaging Radiat Oncol · Apr 2008
Case ReportsPercutaneous radiological management of high-output chylothorax with CT-guided needle disruption.
- B Litherland, M Given, and S Lyon.
- Department of Radiology, The Alfred Hospital, Melbourne, Victoria, Australia.
- J Med Imaging Radiat Oncol. 2008 Apr 1;52(2):164-7.
AbstractWe present the study of a 58-year-old man who underwent percutaneous management of a high-output chylothorax following cardiac bypass graft surgery. The patient presented to a peripheral hospital 3 weeks postoperatively following cardiac bypass graft surgery with shortness of breath. A chest radiograph taken on arrival to the emergency department showed a large left-sided pleural effusion. Subsequent intercostal chest tube insertion drained a large amount of chylous fluid. The patient was treated conservatively with no improvement until undergoing a CT-guided needle disruption of lymphatics with good effect. This case is presented to show the minimally invasive treatment methods that are available in the management of high-output chylothorax.
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