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Chylothorax in chronic lymphocytic leukemia patient
Author(s) -
Doerr Clinton H.,
Staats Bruce A.,
Markovic Svetomir N.
Publication year - 2002
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.10142
Subject(s) - chylothorax , medicine , pleurodesis , chronic lymphocytic leukemia , thoracotomy , thoracic duct , etiology , surgery , ligation , pleural disease , gastroenterology , leukemia , pleural effusion , respiratory disease , pathology , lymphatic system , lung
Abstract Chronic lymphocytic leukemia (CLL) is rarely complicated by chylothorax: we present a 93‐year‐old woman with CLL who developed recurrent pleural effusions that were ultimately found to be chylous in nature. Despite eight repeated thoracenteses, she continued to experience re‐accumulation of fluid, and therefore, video‐assisted thoracotomy with mass ligation of the thoracic duct region plus pleurodesis was performed to resolve the chylothorax. Despite her age and underlying disease, she did well during follow‐up. The etiology and management of chylothorax are also reviewed. Am. J. Hematol. 70:237–240, 2002.© 2002 Wiley‐Liss, Inc.