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Ann Thorac Surg 2002;73:1956-1957
© 2002 The Society of Thoracic Surgeons

Case report

Chyothorax associated with massive osteolysis (Gorham’s syndrome)

Koichi Fujiu, MDa*, Ryuzo Kanno, MDa, Hiroyuki Suzuki, MDa, Naoya Nakamura, MDb, Mitsukazu Gotoh, MDa

a First Department of Surgery, Fukushima Medical University, Fukushima, Japan
b First Department of Pathology, Fukushima Medical University, Fukushima, Japan

Accepted for publication December 5, 2001.

* Address reprint requests to Dr Fujiu, First Department of Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan
e-mail: kfujiu{at}fmu.ac.jp

We report a 15-year-old boy with bilateral chylothorax complicating Gorham’s syndrome. Thoracic duct ligation failed to prevent fluid reaccumulation. The patient died of lymphocytopenia. Autopsy revealed vascular proliferation in the parietal and visceral pleura as well as in the ribs, which seemed to cause persistent chylothorax responsible for the poor prognosis of this patient. We reviewed treatments provided to 22 patients reported in the literature with Gorham’s syndrome and chylothorax.




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