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CASE REPORT   

Chirurgia 2019 April;32(2):102-3

DOI: 10.23736/S0394-9508.18.04845-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Right chylothorax complicating videothoracoscopic management of recurrent pneumothorax

Pierre CAPDEVIELLE 1, Francesco GUERRERA 2, Brice CAPUT 1, Joelle SIAT 1, Paraskevas LYBERIS 2, Alberto OLIARO 2, Stéphane RENAUD 1

1 Department of Thoracic Surgery, Nancy Regional University Hospital, Nancy, France; 2 Department of Thoracic Surgery, Città della Salute e della Scienza University Hospital, Turin, Italy



Chylothorax is a rare complication occurring in 0.5% to 2.5% of major thoracic procedures. The main mechanism usually consists of a direct lesion of the thoracic duct, although its tributaries may also be injured, particularly during mediastinal lymphadenectomy. We report the first case of chylothorax following right video-assisted pleurectomy for recurrent pneumothorax in a 22-year-old Caucasian man. Even though this complication remains extremely rare, in the case of pleurectomy delimitation performed by coagulating hook, the operator should ensure that only the parietal pleura was coagulated, without involvement of the fatty intercostal tissue.


KEY WORDS: Pneumothorax - Pleurodesis - Chylothorax - Thoracoscopy

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