• Zhonghua Yi Xue Za Zhi (Taipei) · Sep 1993

    Case Reports

    Bilateral traumatic chylothorax: a complication of fracture-dislocation of the T-spine.

    • M Y Wei, C S Chow, J B Chen, and C L Chen.
    • Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taiwan, R.O.C.
    • Zhonghua Yi Xue Za Zhi (Taipei). 1993 Sep 1; 52 (3): 194-7.

    AbstractTraumatic chylothorax is a rare complication of fracture-dislocation of the thoracic spine. Not treated adequately, it will be associated with high mortality and morbidity. A review of the English literature shows that bilateral traumatic chylothorax is rarely discussed. A case is presented of fracture-dislocation of the third thoracic vertebra combined with bilateral traumatic chylothorax following a motor vehicle accident. The mechanism of injury is described. The management strategies are, initially, conservative treatment including chest tube drainage, NPO with total parenteral nutrition (TPN), followed by medium-chain triglyceride diet. Without improvement, surgical measures such as mediastinal ligation of the thoracic duct should be considered.

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