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Ann Thorac Surg 2002;74:575-578
© 2002 The Society of Thoracic Surgeons

Case report

Chylous reflux into localized pulmonary lymphangiectasis

Françoise Le Pimpec-Barthes, MDa, Alain Badia, MDa, Michel Febvre, MDb, Philippe Legman, MDc, Marc Riquet, MD, PhD*a

a Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, Paris, France
b Service de Pneumologie, Hôpital Saint Antoine, Paris, France
c Service de Radiologie, Hôpital Cochin, Paris, France

Accepted for publication February 2, 2002.

* Address reprint requests to Dr Riquet, Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France
e-mail: marc.riquet{at}hop.egp.paris.ap-hop-paris.fr

Spontaneous chylothorax is uncommon and may originate from different etiologies either pleural, pulmonary, or mediastinal. Chyloptysis is a still rarer clinical problem and always of pulmonary origin. We report 2 cases: the first, a 63-year-old woman presenting with a chylothorax, and the second, a 28-year-old man with chyloptysis. Both were successfully treated with a medium chain triglyceride diet. Lymphangiograms demonstrated an identical origin for the 2 cases: reflux from the thoracic duct into right lower lobe lung lymphangiectasis. In our experience, chylous reflux into pulmonary lymphangiectasis is not as rare as believed and many cases probably remain undiagnosed.




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K. G. Lim, E. C. Rosenow III, B. Staats, C. Couture, and T. I. Morgenthaler
Chyloptysis in Adults: Presentation, Recognition, and Differential Diagnosis
Chest, January 1, 2004; 125(1): 336 - 340.
[Abstract] [Full Text] [PDF]


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