U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Traumatic chylothorax

MedGen UID:
573483
•Concept ID:
C0340016
•
Disease or Syndrome
Synonym: Traumatic Chylothorax
SNOMED CT: Traumatic chylothorax (233648002)

Definition

Accumulation of lymph fluid in the pleural cavity as a result of thoracic trauma. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTraumatic chylothorax

Professional guidelines

PubMed

Nontraumatic Chylothorax: Diagnostic Algorithm and Treatment Options.
Nadolski G
Tech Vasc Interv Radiol 2016 Dec;19(4):286-290. Epub 2016 Oct 8 doi: 10.1053/j.tvir.2016.10.008. PMID: 27993324
The changing management of chylothorax in the modern era.
Bender B, Murthy V, Chamberlain RS
Eur J Cardiothorac Surg 2016 Jan;49(1):18-24. Epub 2015 Mar 1 doi: 10.1093/ejcts/ezv041. PMID: 25732972
Thoracic duct embolization for the management of chylothoraces.
Nadolski G, Itkin M
Curr Opin Pulm Med 2013 Jul;19(4):380-6. doi: 10.1097/MCP.0b013e3283610df2. PMID: 23715291

Recent clinical studies

Etiology

Intranodal CT Lymphangiography with Water-soluble Iodinated Contrast Medium for Imaging of the Central Lymphatic System.
Patel S, Hur S, Khaddash T, Simpson S, Itkin M
Radiology 2022 Jan;302(1):228-233. Epub 2021 Oct 26 doi: 10.1148/radiol.2021210294. PMID: 34698570
The use of octreotide in the treatment of chylothorax following cardiothoracic surgery.
Ismail NA, Gordon J, Dunning J
Interact Cardiovasc Thorac Surg 2015 Jun;20(6):848-54. Epub 2015 Mar 16 doi: 10.1093/icvts/ivv046. PMID: 25784759
Thoracic duct embolization for nontraumatic chylous effusion: experience in 34 patients.
Nadolski GJ, Itkin M
Chest 2013 Jan;143(1):158-163. doi: 10.1378/chest.12-0526. PMID: 22797603
Chylothorax: a rare complication of tube thoracostomy.
Limsukon A, Yick D, Kamangar N
J Emerg Med 2011 Mar;40(3):280-2. Epub 2008 Aug 30 doi: 10.1016/j.jemermed.2007.12.023. PMID: 18757158
Medical and surgical management of chylothorax and associated outcomes.
Maldonado F, Cartin-Ceba R, Hawkins FJ, Ryu JH
Am J Med Sci 2010 Apr;339(4):314-8. doi: 10.1097/MAJ.0b013e3181cdcd6c. PMID: 20124878

Diagnosis

Abnormal pulmonary lymphatic flow in patients with paediatric pulmonary lymphatic disorders: Diagnosis and treatment.
Itkin M, Chidekel A, Ryan KA, Rabinowitz D
Paediatr Respir Rev 2020 Nov;36:15-24. Epub 2020 Jul 10 doi: 10.1016/j.prrv.2020.07.001. PMID: 32792289
Diagnosis and management of traumatic bilateral chylothorax: a clinical conundrum.
Jindal R, Singh J, Garg L, Gupta M
BMJ Case Rep 2019 Jul 19;12(7) doi: 10.1136/bcr-2019-229400. PMID: 31326914Free PMC Article
Nontraumatic Chylothorax: Diagnostic Algorithm and Treatment Options.
Nadolski G
Tech Vasc Interv Radiol 2016 Dec;19(4):286-290. Epub 2016 Oct 8 doi: 10.1053/j.tvir.2016.10.008. PMID: 27993324
The use of octreotide in the treatment of chylothorax following cardiothoracic surgery.
Ismail NA, Gordon J, Dunning J
Interact Cardiovasc Thorac Surg 2015 Jun;20(6):848-54. Epub 2015 Mar 16 doi: 10.1093/icvts/ivv046. PMID: 25784759
Chylothorax in the neonatal period.
van Straaten HL, Gerards LJ, Krediet TG
Eur J Pediatr 1993 Jan;152(1):2-5. doi: 10.1007/BF02072505. PMID: 8444200

Therapy

Cough-induced chylothorax in a two-year-old boy - case report and review of the literature.
Anger M, Hofmann J, Ruf B, Steinborn M, Reber D, Warncke K, Rieber N
BMC Pediatr 2023 Aug 23;23(1):416. doi: 10.1186/s12887-023-04221-9. PMID: 37612714Free PMC Article
Therapeutic lymphangiography for traumatic chylothorax.
Hara H, Mihara M, Yamamoto M
J Vasc Surg Venous Lymphat Disord 2018 Mar;6(2):237-240. doi: 10.1016/j.jvsv.2017.08.020. PMID: 29454438
A review of traumatic chylothorax.
Pillay TG, Singh B
Injury 2016 Mar;47(3):545-50. Epub 2015 Dec 23 doi: 10.1016/j.injury.2015.12.015. PMID: 26776461
The changing management of chylothorax in the modern era.
Bender B, Murthy V, Chamberlain RS
Eur J Cardiothorac Surg 2016 Jan;49(1):18-24. Epub 2015 Mar 1 doi: 10.1093/ejcts/ezv041. PMID: 25732972
The use of octreotide in the treatment of chylothorax following cardiothoracic surgery.
Ismail NA, Gordon J, Dunning J
Interact Cardiovasc Thorac Surg 2015 Jun;20(6):848-54. Epub 2015 Mar 16 doi: 10.1093/icvts/ivv046. PMID: 25784759

Prognosis

Nontraumatic Chylothorax: Diagnostic Algorithm and Treatment Options.
Nadolski G
Tech Vasc Interv Radiol 2016 Dec;19(4):286-290. Epub 2016 Oct 8 doi: 10.1053/j.tvir.2016.10.008. PMID: 27993324
A review of traumatic chylothorax.
Pillay TG, Singh B
Injury 2016 Mar;47(3):545-50. Epub 2015 Dec 23 doi: 10.1016/j.injury.2015.12.015. PMID: 26776461
Chylothorax: a rare complication of tube thoracostomy.
Limsukon A, Yick D, Kamangar N
J Emerg Med 2011 Mar;40(3):280-2. Epub 2008 Aug 30 doi: 10.1016/j.jemermed.2007.12.023. PMID: 18757158
Blunt trauma-induced bilateral chylothorax.
McCormick J 3rd, Henderson SO
Am J Emerg Med 1999 May;17(3):302-4. doi: 10.1016/s0735-6757(99)90130-4. PMID: 10337895
Bilateral traumatic chylothorax: a complication of a fracture of the thoracic spine.
Crnojevic LJ, Hodgetts TJ, Chambers D, Partridge RJ
Injury 1997 Nov-Dec;28(9-10):681-2. doi: 10.1016/s0020-1383(97)00119-8. PMID: 9624352

Clinical prediction guides

Unusual airway obstruction due to thoracic duct injury after whiplash injury.
Ma DS, Chang SW, Kim DH
Ulus Travma Acil Cerrahi Derg 2021 Jul;27(4):478-482. doi: 10.14744/tjtes.2020.08055. PMID: 34212992
Nontraumatic Chylothorax: Diagnostic Algorithm and Treatment Options.
Nadolski G
Tech Vasc Interv Radiol 2016 Dec;19(4):286-290. Epub 2016 Oct 8 doi: 10.1053/j.tvir.2016.10.008. PMID: 27993324
Thoracic duct embolization for nontraumatic chylous effusion: experience in 34 patients.
Nadolski GJ, Itkin M
Chest 2013 Jan;143(1):158-163. doi: 10.1378/chest.12-0526. PMID: 22797603
Nonoperative thoracic duct embolization for traumatic thoracic duct leak: experience in 109 patients.
Itkin M, Kucharczuk JC, Kwak A, Trerotola SO, Kaiser LR
J Thorac Cardiovasc Surg 2010 Mar;139(3):584-89; discussion 589-90. Epub 2009 Dec 29 doi: 10.1016/j.jtcvs.2009.11.025. PMID: 20042200
Video-assisted right supradiaphragmatic thoracic duct ligation for non-traumatic recurrent chylothorax.
Christodoulou M, Ris HB, Pezzetta E
Eur J Cardiothorac Surg 2006 May;29(5):810-4. Epub 2006 Apr 12 doi: 10.1016/j.ejcts.2006.01.064. PMID: 16626966

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...