Chyloptysis after Ligation of the Thoracic Duct

Shinpei Kato, Hiroki Umezawa, Toshiaki Yano, Takashi Ogasawara, Norio Kasamatsu, Ikko Hashizume
2012 Internal medicine (Tokyo. 1992)  
Chyloptysis is a very rare clinical finding. We describe a 44-year-old man who presented with cough and milky-white sputum. Fiberoptic bronchoscopy revealed white sputum, which originated from the right B6 bronchus. The finding of elevated triglyceride levels in his sputum led to the diagnosis of chyloptysis. He had a surgical history of ligation of the thoracic duct for idiopathic chylopericarditis 7 years-previously. He also suffered from postoperative bilateral empyema. Since then, his
more » ... l cavity has been adhered bilaterally. It is thought that his abnormal postoperative lymphatic flow caused the chyloptysis.
doi:10.2169/internalmedicine.51.7735 pmid:22975557 fatcat:estjnyn4nvazhclolvhfs5wca4