The Kurume Medical Journal
Online ISSN : 1881-2090
Print ISSN : 0023-5679
ISSN-L : 0023-5679
Bilateral Pleural Effusion following Cervical Abscess Drainage: A Case Report
MARI FUKUNAGAKOHSUKE TAYAMASHINZO TAKAMORITOSHIHIRO MATSUOMASAHIRO MITSUOKAKEISUKE MIWAAKIHIRO HAYASHIKAZUO SHIROUZU
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2000 Volume 47 Issue 3 Pages 239-241

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Abstract

Postoperative bilateral chylothorax after cervical surgery has been rarely reported, whereas unilateral chylothorax has been occasionally reported after thoracic surgery. Here, we report a rare case of bilateral pleural effusion that developed after cervical abscess drainage. On the second day after the drainage, the patient felt dyspnea, and bilateral pleural effusion was found on a chest X-ray. The effusion was thought to be chyle and was successfully treated with conservative management. Additionally here, we have suggested that non-traumatic chylothorax was caused by increasing intraluminal pressure occurring inside the thoracic duct after its ligation. Careful follow up of any respiratory symptoms and of chest X-rays is recommended after cervical intervention.

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