PDF(Pubmed)
Abstract：
Incidence of chylothorax post-esophageal stenting has not been reported. We present a 40-year-old female with metastatic breast cancer who presented with dyspnea. She was recently hospitalized for dysphagia secondary to a mediastinal mass requiring an esophageal stent. CT chest now reported large bilateral pleural effusions. A benign chylothorax was drained from the right side. After persistent high-output drainage, a review of her CT chest revealed thoracic duct impingement by the esophageal stent. The stent was retracted proximally, and pleural fluid output subsequently decreased. Repeat fluid analysis revealed a transudative effusion. This is the first reported case of esophageal stenting causing reversible chylothorax.
摘要：
食道支架置入术后乳糜胸的发生率尚未见报道。我们介绍了一名40岁的转移性乳腺癌女性，她表现出呼吸困难。她最近因继发于纵隔肿块的吞咽困难而住院，需要食管支架。胸部CT现在报告双侧大量胸腔积液。从右侧排出良性乳糜胸。经过持续的高输出排水，对她的胸部CT检查显示食管支架撞击了胸导管。支架向近端缩回，胸膜积液随后减少。重复流体分析显示有渗出性积液。这是首例报道的食管支架置入导致可逆性乳糜胸的病例。
