Pleuroperitoneal Shunt for Chylothorax and Chylopericardium in Lung Cancer: A Case Report

Takuo Shimmyo; Katsuhiko Morita; Masamichi Mineshita; Rie Tagaya; Koji Ando; Atsushi Mochizuki; Noriaki Kurimoto; Teruomi Miyazawa; Hiroaki Osada; Haruhiko Nakamura

doi:10.5761/atcs.cr.09.01482

Case Reports

Pleuroperitoneal Shunt for Chylothorax and Chylopericardium in Lung Cancer: A Case Report

Takuo Shimmyo, Katsuhiko Morita, Masamichi Mineshita, Rie Tagaya, Koji Ando, Atsushi Mochizuki, Noriaki Kurimoto, Teruomi Miyazawa, Hiroaki Osada, Haruhiko Nakamura

Author information

Takuo Shimmyo
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Katsuhiko Morita
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Masamichi Mineshita
Departments of Respiratory and InfectiousMedicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Rie Tagaya
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Koji Ando
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Atsushi Mochizuki
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Noriaki Kurimoto
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Teruomi Miyazawa
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Hiroaki Osada
Department of Surgery, Shonan ChuouHospital, Fujisawa, Kanagawa, Japan
Haruhiko Nakamura
Departments of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan

Keywords: lung cancer, chylothorax, chylopericardium, pleuroperitoneal shunt

JOURNAL FREE ACCESS

2011 Volume 17 Issue 1 Pages 63-66

DOI https://doi.org/10.5761/atcs.cr.09.01482

Details

Abstract

A 70-year-old man with T1N3M1 stage IV squamous cell carcinoma in the right upper lobe of the lung developed chylothorax and chylopericardium as rare simultaneous complications. Intravenous hyperalimentation, repeated pleurodesis, and ligation of the thoracic duct were all ineffective. A pleuroperitoneal shunt was inserted into the right pleural cavity from the fifth intercostal space, and a peritoneal catheter was placed in the abdominal cavity. Chylothorax was markedly improved, and the quality of life of the patient increased. This case indicates that a pleuroperitoneal shunt can be used for lung cancer-related chylothorax, as well as for malignant pleural effusion.

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