PDF(Pubmed)
Abstract：
Chylothorax and chylous ascites occur when lymphatic fluid accumulates in the pleural space or peritoneum, respectively. They are classified as either traumatic or non-traumatic, and lymphomas are the most common non-traumatic cause. Lymphomas can obstruct the lymphatic architecture causing lipid-rich chyle to leak out below the level of the obstructing mass. Bilateral chylothoraces presenting in the presence of chylous ascites, secondary to Non-Hodgkin Lymphoma, are rare. We describe a case of a 55-year-old man with recurring large-volume chylous ascites secondary to Non-Hodgkin lymphoma who developed bilateral chylothoraces. Initially, he presented with dyspnea and hypoxia and was found to have bilateral pleural effusions, requiring bilateral thoracentesis for diagnostic and therapeutic management. The fluid removed from the pleural space was found to be lymphatic fluid, and the patient was eventually discharged home with instructions to follow up with oncology for further management. The case reveals a temporal relationship where a huge volume of chylous ascites develops into a chylothorax.
摘要：
当淋巴液积聚在胸膜腔或腹膜时，发生乳糜胸和乳糜腹水，分别。他们被归类为创伤或非创伤，淋巴瘤是最常见的非创伤性原因。淋巴瘤会阻塞淋巴结构，导致富含脂质的乳糜在阻塞肿块的水平以下漏出。出现乳糜腹水的双侧乳糜胸，继发于非霍奇金淋巴瘤，是罕见的。我们描述了一例55岁的男性，患有继发于非霍奇金淋巴瘤的复发性大量乳糜腹水，并发展为双侧乳糜胸。最初，他表现为呼吸困难和缺氧，并发现双侧胸腔积液，需要双侧胸腔穿刺术进行诊断和治疗。从胸膜腔排出的液体被发现是淋巴液，患者最终出院,指导患者接受肿瘤学随访以进行进一步治疗.该案例揭示了一种时间关系，其中大量乳糜腹水发展成乳糜胸。
