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JYMS : Journal of Yeungnam Medical Science

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HOME > J Yeungnam Med Sci > Volume 31(1); 2014 > Article
Case Report Surgical treatment of recurrent pseudochylothorax occurring after therapy of tuberculous pleurisy.
Jae Ryung Yi, Woo Sik Kim, Eun Jung Jeong, Yu Na Jung, Hee Sook Lee, Gi Ho Jo, Ji Yeon Lee
Journal of Yeungnam Medical Science 2014;31(1):65-68
Published online: June 30, 2014
1Department of Internal Medicine, National Medical Center, Seoul, Korea.
2Department of Thoracic Surgery, National Medical Center, Seoul, Korea.
3Department of Pathology, National Medical Center, Seoul, Korea.
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Pseudochylothorax is an uncommon pleural effusion disease characterized by the presence of cholesterol crystals or high lipid content not resulting from a disrupted thoracic duct. Most of the cases reported so far had been found in patients with long-standing pleural effusion due to a chronic inflammatory disease such as old tuberculous pleurisy or chronic rheumatoid pleurisy. Authors encountered a case of pseudochylothorax in a 45-year-old man who had been treated for tuberculous pleurisy 6 years before his visit to authors' hospital. After that, he had visited the emergency department many times for removal of pleural effusion. The patient's chest X-ray revealed dyspnea and large left-sided pleural effusion. Although a large amount of pleural fluid was removed with a drainage catheter, massive pleural effusion was likely to recur, and the underlying lung was able to fully re-expand. Accordingly, decortication was done, and the patient's symptom was improved without postoperative complications.

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