Post‐traumatic pleural effusion: Don't forget the chylothorax!

Author:

Bovy Valentin1ORCID,De Keukeleire Tom2,Van Schoote Elke2,Vanslembrouck Inge3,Bogaert Anne‐Marie4

Affiliation:

1. Department of Internal Medicine AZ Sint‐Elisabeth Zottegem Belgium

2. Department of Pneumology AZ Sint‐Elisabeth Zottegem Zottegem Belgium

3. Department of Internal Medicine and Geriatrics AZ Sint‐Elisabeth Zottegem Zottegem Belgium

4. Department of Nephrology AZ Sint‐Elisabeth Zottegem Zottegem Belgium

Abstract

AbstractIn this case we describe a 58‐year‐old male with bilateral pleural effusion after a blunt trauma to the back. A pleural puncture revealed a chylothorax. An additional computed tomography scan showed a vertebral fracture at level D8 with rupture of the nearby thoracic duct. Our patient could be treated with a conservative approach. This case highlights the importance of ruling out a chylothorax in any post‐traumatic pleural effusion. Despite the low prevalence, we consider it a don't‐miss diagnosis given the specific treatment requirements.

Publisher

Wiley

Subject

Pulmonary and Respiratory Medicine

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