Late-onset chylothorax after pulmonary resection for lung cancer |
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Authors: | Maiko Tabu Kazuhiro Imai Jun-ichi Ogawa Yoshihiro Minamiya Satoru Yoshida Kyo Hirayama Takeyuki Sawano Ikuo Matsuzaki |
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Affiliation: | (1) Department of Pediatric Cardiology and Heart Surgery, Istituto Policlinico “San Donato”, via Morandi 30, 20097 San Donato Milanese, Milan, Italy;(2) Department of Economics, Statistics and Mathematics Section, University of Milan, Milan, Italy;(3) Department of Cardiac Anesthesia, Istituto “Sant'Ambrogio,” , Milan, Italy |
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Abstract: | Chylothorax is a relatively rare complication of thoracic surgery. Most instances of chylothorax after pulmonary resection are diagnosed within 3 days after surgery. Hence, late-onset chylothorax is rare. A 68-year-old woman underwent right lower lobectomy and mediastinal dissection for lung cancer. After discharge, the patient developed a dry cough, and chest radiography more than 3 months after surgery revealed a right-sided pleural effusion occupying more than half of the right hemithorax, which we diagnosed as late-onset chylothorax. Treatment comprised chest drainage, subcutaneous octreotide, and pleurodesis by injecting a preparation of OK-432. Follow-up chest radiography confirmed no reaccumulation of fluid. Three months later no recurrence of pleural effusion was detected. We report a rare case of postoperative late-onset chylothorax that proved difficult to treat. |
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