Surgical Management of Chyloptysis.

Gillaspie, Erin A; Lim, Kaiser; Nichols, Francis C · Ann Thorac Surg · 2018

case_report · Level V

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Abstract

Chyloptysis is a rare clinical presentation. Diagnosis is challenging and requires recognition of milky-sputum or bronchial casts. We describe a case of chyloptysis secondary to thoracic lymphangiectasia that necessitated surgical ligation of the main thoracic duct and accessory branches. The patient had no postoperative complications, and at 6-month follow-up remained symptom-free. A paucity of literature describes the management of chyloptysis. We review diagnosis, treatment considerations and operative principles.

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