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Surgical treatment of recurrent pseudochylothorax occurring after therapy of tuberculous pleurisy
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ÀÌÀç·É(Yi Jae-Ryung) - ±¹¸³Áß¾ÓÀÇ·á¿ø ³»°ú
±è¿ì½Ä(Kim Woo-Sik) - ±¹¸³Áß¾ÓÀÇ·á¿ø ÈäºÎ¿Ü°ú
Á¤ÀºÁ¤(Jeong Eun-Jung) - ±¹¸³Áß¾ÓÀÇ·á¿ø º´¸®°ú
Á¤À¯³ª(Jung Yu-Na) - ±¹¸³Áß¾ÓÀÇ·á¿ø ³»°ú
ÀÌÈñ¼÷(Lee Hee-Sook) - ±¹¸³Áß¾ÓÀÇ·á¿ø ³»°ú
Á¶±âÈ£(Jo Gi-Ho) - ±¹¸³Áß¾ÓÀÇ·á¿ø ³»°ú
ÀÌÁö¿¬(Lee Ji-Yeon) - ±¹¸³Áß¾ÓÀÇ·á¿ø ³»°ú
Abstract
Pseudochylothorax is an uncommon pleural effusion disease characterized by the presence of cholesterol crystals or high lipid content not resulting from a disrupted thoracic duct. Most of the cases reported so far had been found in patients with long-standing pleural effusion due to a chronic inflammatory disease such as old tuberculous pleurisy or chronic rheumatoid pleurisy. Authors encountered a case of pseudochylothorax in a 45-year-old man who had been treated for tuberculous pleurisy 6 years before his visit to authors¡¯ hospital. After that, he had visited the emergency department many times for removal of pleural effusion. The patient¡¯s chest X-ray revealed dyspnea and large left-sided pleural effusion. Although a large amount of pleural fluid was removed with a drainage catheter, massive pleural effusion was likely to recur, and the underlying lung was able to fully re-expand. Accordingly, decortication was done, and the patient¡¯s symptom was improved without postoperative complications.
Å°¿öµå
Pseudochylothorax, tuberculosis, Cholesterol, Pleural effusion, Decortication
KMID :
0370920140310010065
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