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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case of chylothorax with chylous effusion just below the abdominal wall after surgery of abdominal aortic aneurysm

Toshihito Otani  Mayuka Yamane  Yojiro Onari 

Department of Respiratory Medicine, Mazda Hospital

ABSTRACT

A 69-year-old man presented at a local clinic because of shortness of breath. He was found to have pleural effusion and was referred to our hospital for further evaluation. An examination of pleural effusion revealed a milky-white, chylous fluid with increased triglycerides. He had a surgical history of abdominal aortic aneurysm a year ago. Computed tomography of the abdomen revealed to have a low density area just below the abdominal wall. A needle aspiration of this lesion revealed a milky fluid with a high concentration of triglyceride. These effusions were resolved by adherence to a low-fat-diet. The influence of the development of collateral channels associated with the exclusion of the thoracic duct according to an abdominal aortic aneurysm was considered large.

KEYWORDS

Abdominal aortic aneurysm  Chylothorax  Chylous ascites  Conservative treatment 

Received 23 Apr 2016 / Accepted 3 Apr 2017

AJRS, 6(4): 295-299, 2017

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