Spontaneous bilateral chylothorax in both vena cava thrombosis; cisterna chyli ligation

Onur Bayrakci, Ersin Borazan, Maruf Şanli, Sevinç Yagci, Nurevşan Kusdogan


Chilothorax, a rare clinical condition characterized by high triglyceride white fluid in the thoracic cavity; when the literature is examined, it is seen because of trauma, malignancy, complication of surgery, and rarely central catheter-related thromboplasty. In the treatment, diet change, nutrition, drainage with tube thoracostomy, conservative method, surgical procedure with thoracotomy are applied.In our case there was no response to nutritional changes, drainage, thoracotomy and somatostatin treatments. Cisterna chyli ligation was performed with laparotomy. We present a case of spontaneous bilateral chylothorax associated with superior and inferior vena cava thrombosis (without central catheter relationship).


Spontaneous, Chylothorax, Vena cava thrombosis, Surgical, Cisterna chyli ligation

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Miller JI. Anatomy of the thoracic duct and chylothorax. In: Shields TW, LoCicero J, Ponn RB, Rusch VW, eds. General thoracic surgery, 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2005:1;879-88.

Agrawal V, Sahn SA. Lipid pleural effusions. Am J Med Sci. 2008;335(1):16-20.

Schild HH, Strassburg CP, Welz A, Kalff J. Treatment options in patients with chylothorax. Dtsch Arztebl Int. 2013;110(48):819-26.

Hardy JD, Ewing HP. The mediastinum. In: Glenn WWL, eds. Thoracic and cardiovascular surgery. United States: Appeleton-Century-Crofts;1983:201-4.

Talwar A, Lee HJ. A contemporary review of chylothorax. Indian J Chest Dis Alli Sci. 2008;50(4): 343-51.

Mafe JJ, Galbis-Caravajal JM, Baschwitz B, Jose M, Paniagua R. Bilateral chylothorax after thymectomy via median sternotomy and resolution through conservative treatment. Eu J Cardiothorac Surg. 2003;24:466-8.

Lim KA, Kim SH, Huh J, Kang IS, Lee HJ, Jun TG, et al.Somatostatin for postoperative chylothorax after surgery for children with congenital heart disease. J Korean Med Sci. 2005;20(6):947-51.

Tözüm H, Eren TŞ. Güncel literatür eşliğinde şilotoraks ve psödoşilotoraks’ın değerlendirilmesi. Güncel Göğüs Hastalıkları Serisi. 2015;3(3):327-34.