Open AccessChylothorax as a complication of extensive spontaneous left arm DVT
Author(s) -
Ahmed Gohar,
Fady Jamous,
Natasha Meyer
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-232563
Subject(s) - medicine , thoracentesis , chylothorax , chylous ascites , transudate , surgery , complication , conservative management , cirrhosis , paracentesis , ascites , radiology , pleural effusion , pleural fluid
We present a case of right sided chylothorax in the setting of cirrhosis believed to be secondary to extensive venous thromboembolism of the left upper extremity and exacerbated by chylous ascites. Our patient responded to conservative management with anticoagulation and a repeat thoracentesis revealed transformation of the fluid back to straw coloured transudate. We also include a brief discussion of the diagnosis and management of chylothorax.