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Abstract

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A Case of Chylothorax Causing to Chest Tube Insertion for Spontaneous Pneumothorax
Hirotoshi Kubokura1, Masami Otsuka2, Junichi Okamoto1 and Jitsuo Usuda3
1)Department of Thoracic Surgery, Nippon Medical School Musashi Kosugi Hospital
2)Resident, Nippon Medical School Musashi Kosugi Hospital
3)Department of Thoracic Surgery, Nippon Medical School

We report the case of a 16-year-old boy who developed chylothorax after the chest tube insertion for spontaneous pneumothorax. The patient was admitted to our hospital for right spontaneous pneumothorax that required thoracic drainage. After chest tube insertion, we noticed chylous effusion discharging from the tube. Although this discharge of chylous effusion gradually decreased after the patient was put on a fat-restricted diet, we performed video-assisted thoracic surgery (VATS) for continuous air leakage 9 days after admission. The patient's postoperative course was excellent. The chest tube was removed 5 days after surgery (POD5), and the patient was discharged the following day (POD6).
Chest tube insertion was usually a blind procedure; therefore, the location of the chest tube should receive special attention in order to prevent any unexpected thoracic injury.

“úˆã‘åˆã‰ïŽ 2013; 9(3), 156-159

Key words
chylothorax, thoracic drainage, pneumothorax, video-assisted thoracic surgery (VATS)

Correspondence to
Hirotoshi Kubokura, MD, PhD, Department of Thoracic Surgery, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
E-mailFkubokura@nms.ac.jp

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