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Ann Thorac Surg 2001;72:937-939
© 2001 The Society of Thoracic Surgeons

Case report

Chylothorax complicating Gorham’s disease

Nicolas Chavanis, MDa, Philippe Chaffanjon, MDa, Gil Frey, MDa, Gabrielle Vottero, MDb, Pierre-Yves Brichon, MDa

a Department of Thoracic Surgery, Hôpital Albert Michallon, Grenoble, France
b Department of Pneumology, Hôpital Albert Michallon, Grenoble, France

Accepted for publication August 23, 2000.

Address reprint requests to Dr Brichon, Service de Chirurgie Thoracique, Centre Hospitalier Universitaire Albert Michallon, BP 217, F-38043 Grenoble Cedex 09, France
e-mail: pybrichon{at}chu-grenoble.fr

Gorham’s disease is a rare disorder characterized by a proliferation of thin-walled lymphatic vessels (lymphangiectasia) resulting in an osteolysis. A chylothorax is present in about one-fifth of the patients and carries a poor prognosis. In this circumstance, surgery including thoracic duct ligation, pleurodesis, and excision of involved tissue is probably the treatment of choice. It is facilitated by a precise radiological assessment using a computed tomographic scanning coupled with a lymphography. We report such a case.




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