Exceptional cause of chylothorax: spontaneous rupture of thoracic duct

Authors

  • Cristina Limia-Vita Servicio de Medicina Interna, Hospital Sierrallana, Torrelavega (Cantabria), Spain
  • Gervasio Santiago-Ruiz Servicio de Medicina Interna, Hospital Sierrallana, Torrelavega (Cantabria), Spain
  • María Luisa Díez-Lizuain Servicio de Radiodiagnóstico, Hospital Sierrallana, Torrelavega (Cantabria), Spain
  • Anibal Manuel Hernández-Gil Servicio de Neumología, Hospital Sierrallana, Torrelavega (Cantabria), Spain

DOI:

https://doi.org/10.32818/reccmi.a7n1a2

Keywords:

chylothorax, thoracic duct, chyloascitis, lump

Abstract

The most common cause of chylothorax is a traumatic rupture of the thoracic duct due to injury or sudden increases in intrathoracic pressure or surgery, being extremely rare spontaneous rupture. Other non-traumatic causes of chylothorax may be of malignant origin (such as neoplasms of various extirpations) or non-malignant (including vena cava syndrome, systemic connective tissue diseases of immunological origin, infectious diseases, thrombosis, radiation, or aortic aneurysm).
We present a case of sudden onset cervical swelling with associated chylothorax and chyloascitis, eventually diagnosed as a spontaneous rupture of the thoracic duct.

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References

García-Tirado J, Landa-Oviedo HS, Suazo-Guevara I. Quilotórax espontáneo bilateral desencadenado por estornudo: una entidad peculiar de buen pronóstico. Arch Bronconeumol. 2017; 53(1): 32-33. doi: https://doi.org/10.1016/j.arbres.2016.05.017.

Varona Porres D, Persiva Ó, Pallisa E, Sansano I. Diagnóstico por imagen de rotura espontánea de quiste mediastínico del conducto torácico. Radiologia. 2016; 58(6): 491-495. English, Spanish. doi: https://doi.org/10.1016/j.rx.2016.03.002.

Navarro Navarro M, López Pérez E, Alberola Marco M, Martínez Gómez C y Moya García MI. “ROTURA ESPONTÁNEA DE CONDUCTO TORÁCICO CERVICAL” Radiología. 2018; 60 (Espec Cong): 990. Accesible en: https://www.elsevier.es/es-revista-radiologia-119-congresos-34-congreso-nacional-seram-73-sesion-miscelanea-4197-comunicacion-rotura-espontanea-de-conducto-toracico-49613-pdf (último acceso diciembre 2021).

Heffner JE. Etiology, clinical presentation, and diagnosis of chylothorax. In: UpToDate, Courtney Broaddus V (Ed), UpToDate, Waltham, MA, 2020. Disponible en: https://www.uptodate.com (último acceso diciembre 2021).

Published

2022-04-24

How to Cite

1.
Limia-Vita C, Santiago-Ruiz G, Díez-Lizuain ML, Hernández-Gil AM. Exceptional cause of chylothorax: spontaneous rupture of thoracic duct. Rev Esp Casos Clin Med Intern [Internet]. 2022 Apr. 24 [cited 2024 Nov. 23];7(1):3-5. Available from: https://www.reccmi.com/RECCMI/article/view/645