Quilotórax bilateral espontâneo após vômitos excessivos em criança

IF 1.4 Q3 PEDIATRICS Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI:10.1016/j.rpped.2016.03.007

Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi

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引用次数: 1

Abstract

Objective

To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.

Case description

Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.

Comments

Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.

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儿童过度呕吐后双侧自发性乳糜胸

目的报告1例患儿因严重呕吐后胸导管损伤而发生双侧乳糜胸的罕见病因。病例描述:女童，7岁，吐血后开始出现慢性面部肿胀。在检查时，她也出现双侧胸腔积液，并在胸腔穿刺时获得乳糜液。经过对乳糜胸病因的广泛临床、实验室和放射学调查，发现其继发于胸导管损伤，最初表现为呕吐引起的胸内压力增加，淋巴显像结果支持。除新生儿期外，乳糜胸是儿童胸腔积液的罕见表现。病因多种多样，包括创伤、恶性肿瘤、感染和炎症性疾病;然而，本研究中描述的病因在文献中报道很少。

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来源期刊

Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health

CiteScore

2.30

自引率

0.00%

发文量

100

审稿时长

11 weeks

期刊介绍： The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.