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Chylothorax post transaxillary first rib resection for thoracic outlet syndrome. | LitMetric

AI Article Synopsis

  • A patient experienced a high output chyle leak after surgery for venous thoracic outlet syndrome involving the first rib resection.
  • The condition was effectively managed through conservative treatments, including bed rest, parenteral nutrition, and a low-fat diet.
  • This case is notable as the first recorded instance of chylothorax following transaxillary first rib resection, likely due to unusual chyle anatomy.

Article Abstract

We present a patient who developed high output chyle leak post left transaxillary first rib resection for venous thoracic outlet syndrome. The high output chylorrhoea was successfully treated by conservative measures, bed rest, parenteral nutrition and low-fat diet. The patient was discharged after an 18-day hospital stay with a complete resolution of his chylous fistula prior to discharge. This is the first documented chylothorax post transaxillary first rib resection likely due to anomalous chyle anatomy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7942259PMC
http://dx.doi.org/10.1136/bcr-2020-236006DOI Listing

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