Citation

Grant PW, Brown SW. Aust. N. Zeal. J. Surg. 1991; 61(10): 798-800.

Affiliation

Cardiothoracic Department, Waikato Hospital, Hamilton, New Zealand.

Copyright

(Copyright © 1991, John Wiley and Sons)

DOI

unavailable

PMID

1929985

Abstract

A case of traumatic chylothorax following a motor vehicle accident is presented. This is a rare injury following thoracic trauma and is associated with a high mortality and morbidity. Mechanisms of injury to the thoracic duct are described. A management strategy is suggested, which initially entails a trial of conservative therapy of adequate drainage, total parenteral nutrition (TPN) and total gut rest. If significant chyle losses persist after 2 weeks, surgery is indicated, as immunological factors may complicate recovery. The recommended surgical technique is transthoracic duct ligation directly or at the hiatus.

Language: en