Resumo
The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.
Chylothorax; Trauma; Penetrating
Chylothorax; Trauma; Penetrating
RELATOS DE CASOS
Quilotórax traumático por ferimento penetrante do tórax
Traumatic chylothorax by gunshot wound of thorax
Benjamin Smaniotto, TCBC-PRI; Marlos de Souza Coelho, TCBC-PRII; Esdras Camargo ZanoniIII; Lincoln Graça NetoIII; Aníbal Wood BrancoIII
IPreceptor da Residência de Cirurgia Geral
IIPreceptor da Residência de Cirurgia Torácica
IIIMédico Residente de Cirurgia Geral
Endereço para correspondência Endereço para correspondência: Dr. Esdras Camargo Zanoni Rua José de Alencar, 161/61 80050-240 Curitiba - PR
ABSTRACT
The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.
Key words: Chylothorax; Trauma; Penetrating.
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Recebido em 20/4/98
Aceito para publicação em 1/1 0/98
Trabalho realizado no Serviço de Cirurgia Geral Hospital Universitário Cajuru - PUC-PR
- 1. Nakano A, Kato M, Watanabe T. OK-432 Chemical pleurodesis for the treatment of persistent chylotorax. Hepatogastroenterolog 1994;41 :568-70.
- 2. Paes ML, Powel H. Chylotorax: an update. British Journal of Hospital Medicine 1994;51 :(9)482-90.
- 3. Hood MR, Boyd AD, Culliford TA. Thoracic Trauma. W.B. Saunders Company 1989;16:378-80.
- 4. Fogli L, Gordini P. Conservative management of traumatic chylothorax: a case report. Intensive Care Medicine 1993; 9:176-77.
- 5. Miyamura H, Watanabe H, Eguchi S, et al. Ligation of the thoracic duct through transabdominal phrenotomia for chylothorax after heart operations. J Thorac Cardiovasc Surg 1994;107:309-25.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
31 Maio 2010 -
Data do Fascículo
Dez 1998
Histórico
-
Aceito
01 Out 1998 -
Recebido
20 Abr 1998