Transudative chylothorax associated with sclerosing mesenteritis.

Respir Care

Department of Pulmonary, Allergy, and Critical Care Medicine, A90, Respiratory Institute, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Published: April 2010

Transudative chylothorax is an uncommon type of chylous pleural effusion, typically secondary to chyle leak and a coexisting disorder such as heart failure or liver cirrhosis. Sclerosing mesenteritis is a rare inflammatory disease of the small bowel mesentery, and has once previously been reported as a cause of chylothorax. We present the case of an 81-year-old man with a right-side transudative chylothorax associated with congestive heart failure and sclerosing mesenteritis. We discuss potential mechanisms.

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