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- P W Grant and S W Brown.
- Cardiothoracic Department, Waikato Hospital, Hamilton, New Zealand.
- Aust N Z J Surg. 1991 Oct 1;61(10):798-800.
AbstractA case of traumatic chylothorax following a motor vehicle accident is presented. This is a rare injury following thoracic trauma and is associated with a high mortality and morbidity. Mechanisms of injury to the thoracic duct are described. A management strategy is suggested, which initially entails a trial of conservative therapy of adequate drainage, total parenteral nutrition (TPN) and total gut rest. If significant chyle losses persist after 2 weeks, surgery is indicated, as immunological factors may complicate recovery. The recommended surgical technique is transthoracic duct ligation directly or at the hiatus.
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