Quilotórax traumático por ferimento penetrante do tóraxAbstract
The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.
Chylothorax; Trauma; Penetrating
Chylothorax; Trauma; Penetrating
Chylothorax; Trauma; Penetrating
RELATOS DE CASOS
Quilotórax traumático por ferimento penetrante do tórax
Traumatic chylothorax by gunshot wound of thorax
Benjamin Smaniotto, TCBC-PRI; Marlos de Souza Coelho, TCBC-PRII; Esdras Camargo ZanoniIII; Lincoln Graça NetoIII; Aníbal Wood BrancoIII
IPreceptor da Residência de Cirurgia Geral
IIPreceptor da Residência de Cirurgia Torácica
IIIMédico Residente de Cirurgia Geral
ABSTRACT
The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.
Key words: Chylothorax; Trauma; Penetrating.
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Full text available only in PDF format.
Recebido em 20/4/98
Aceito para publicação em 1/1 0/98
Trabalho realizado no Serviço de Cirurgia Geral Hospital Universitário Cajuru - PUC-PR
Referências bibliográficas
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- 3. Hood MR, Boyd AD, Culliford TA. Thoracic Trauma. W.B. Saunders Company 1989;16:378-80.
- 4. Fogli L, Gordini P. Conservative management of traumatic chylothorax: a case report. Intensive Care Medicine 1993; 9:176-77.
- 5. Miyamura H, Watanabe H, Eguchi S, et al. Ligation of the thoracic duct through transabdominal phrenotomia for chylothorax after heart operations. J Thorac Cardiovasc Surg 1994;107:309-25.
