Acessibilidade / Reportar erro

Quilotórax traumático por ferimento penetrante do tórax

Traumatic chylothorax by gunshot wound of thorax

Resumo

The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.

Chylothorax; Trauma; Penetrating


Chylothorax; Trauma; Penetrating

RELATOS DE CASOS

Quilotórax traumático por ferimento penetrante do tórax

Traumatic chylothorax by gunshot wound of thorax

Benjamin Smaniotto, TCBC-PRI; Marlos de Souza Coelho, TCBC-PRII; Esdras Camargo ZanoniIII; Lincoln Graça NetoIII; Aníbal Wood BrancoIII

IPreceptor da Residência de Cirurgia Geral

IIPreceptor da Residência de Cirurgia Torácica

IIIMédico Residente de Cirurgia Geral

Endereço para correspondência Endereço para correspondência: Dr. Esdras Camargo Zanoni Rua José de Alencar, 161/61 80050-240 – Curitiba - PR

ABSTRACT

The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.

Key words: Chylothorax; Trauma; Penetrating.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido em 20/4/98

Aceito para publicação em 1/1 0/98

Trabalho realizado no Serviço de Cirurgia Geral Hospital Universitário Cajuru - PUC-PR

  • 1. Nakano A, Kato M, Watanabe T. OK-432 Chemical pleurodesis for the treatment of persistent chylotorax. Hepatogastroenterolog 1994;41 :568-70.
  • 2. Paes ML, Powel H. Chylotorax: an update. British Journal of Hospital Medicine 1994;51 :(9)482-90.
  • 3. Hood MR, Boyd AD, Culliford TA. Thoracic Trauma. W.B. Saunders Company 1989;16:378-80.
  • 4. Fogli L, Gordini P. Conservative management of traumatic chylothorax: a case report. Intensive Care Medicine 1993; 9:176-77.
  • 5. Miyamura H, Watanabe H, Eguchi S, et al. Ligation of the thoracic duct through transabdominal phrenotomia for chylothorax after heart operations. J Thorac Cardiovasc Surg 1994;107:309-25.
  • Endereço para correspondência:

    Dr. Esdras Camargo Zanoni
    Rua José de Alencar, 161/61
    80050-240 – Curitiba - PR
  • Datas de Publicação

    • Publicação nesta coleção
      31 Maio 2010
    • Data do Fascículo
      Dez 1998

    Histórico

    • Aceito
      01 Out 1998
    • Recebido
      20 Abr 1998
    Colégio Brasileiro de Cirurgiões Rua Visconde de Silva, 52 - 3º andar, 22271- 090 Rio de Janeiro - RJ, Tel.: +55 21 2138-0659, Fax: (55 21) 2286-2595 - Rio de Janeiro - RJ - Brazil
    E-mail: revista@cbc.org.br