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Vol. 33. Issue 4.
Pages 168-171 (April 1997)
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Vol. 33. Issue 4.
Pages 168-171 (April 1997)
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Quilotórax secundario a traumatismo torácico cerrado. A propósito de 6 casos
Chylothorax secondary to closed thoracic trauma. Six cases
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F. López Espadas*, J.L. Iribarren Sarrías, C. Martínez Jiménez, R. Fernández Rico, A. Lacruz Cañas, A. Quesada Suescun
Servicio de Medicina Intensiva. Hospital Universitario Marqués de Valdecilla. Santander. Cantabria
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El quilotórax es una entidad poco frecuente, siendo el secundario a un traumatismo torácico cerrado el de etiología más rara. Se presentan una serie de 6 quilotórax postraumatismo cerrado, diagnosticados precozmente y manejados de forma conservadora, con instauración de alimentación parenteral total o enteral ajustada a las circunstancias, también de forma precoz, de modo que las complicaciones derivadas del quilotórax han sido muy escasas. Se precisó una intervención quirúrgica en tan sólo un caso, siendo en todos la evolución satisfactoria, con una mortalidad nula.

Palabras clave:
Quilotórax traumático
Traumatismo torácico cerrado

Chylothorax is a rare condition that even more rarely arises as a result of closed thoracic trauma. We report a series of 6 patients who suffered chylothorax after closed trauma, who were diagnosed early and treated conservatively. Either total parenteral feeding or adjusted enteral feeding, depending with circumstances, was started early such that complications from chylothorax were few. Surgery was required in only one case, and outcomes were satisfactory in all patients, none of whom died.

Key words:
Traumatic chylothorax
Closed thoracic trauma
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Bibliografía
[1.]
M. León Vallès, J. Trujillano Cabello, E. Campos Gutiérrez, J.L. Casal Duero Araiz, J. Andonegui Oteiza, I. Moraga Ramos.
Quilotórax traumático de tratamiento quirúrgico. A propósito de un caso.
Med Intens, 14 (1990), pp. 168-171
[2.]
V.G. Valentine, T.A. Raffin.
The management of chylothorax.
Chest, 102 (1992), pp. 586-591
[3.]
L. Teba, H. Dedhia, R. Bowen, J. Alexander.
Chylothorax review.
Critical Care Medicine, 13 (1985), pp. 49-52
[4.]
E. Forster, A. Le Maguet, J. Cinqualbre, J.L. Piombini, E. Schiltz.
A propos d’un cas de chylothorax consécutif à un traumatisme fermé vertébro-costal.
Chirurgie, 101 (1975), pp. 605-616
[5.]
S. Dulchavsky, A. Ledgerwood, Ch. Lucas.
Management of chylothorax after blunt chest trauma.
Trauma, 28 (1988), pp. 1.400-1.401
[6.]
S. Milano, R. Maroldi, G. Vezzoli, G. Bozzola, G. Battaglia, G. Mombelloni.
Chylothorax after blunt chest trauma: an usual case with a long latent period.
Thorac Cardiovasc Surgeon, 42 (1994), pp. 187-190
[7.]
P. Sachs, M. Zelch, T. Rice, M. Geisinger, B. Risius, G. Lammert.
Diagnosis and localization of Laceration of the thoracic duct: Usefulness of lymphangiography and CT.
Am J Rheum, 157 (1991), pp. 703-705
[8.]
H. Ngan, M. Fok, J. Wong.
The role of lymphography in chylothorax following thoracic surgery.
B J Radiol, 61 (1988), pp. 1.032-1.036
[9.]
L. Fogli, P. Gorini, S. Belcastro.
Conservative management of traumatic chylothorax: a case report.
Intensive Care Med, 19 (1993), pp. 176-177
[10.]
J. Selle, W. Snyder, J. Schreiber.
Chylotorax: indications for surgery.
Ann Surg, 2 (1973), pp. 245-250
[11.]
F. López Espadas, J.C. Pérez Villarroya, S. González Herrera, G. DíazRegañón, E. Hormaechea Cazón, A. Lacruz Cañas.
Quilotórax bilateral traumático.
Med Clin (Barc), 6 (1980), pp. 232-234
[12.]
F. Zoetmulder, E. Rutgers, P. Baas.
Thoracoscopic ligation of a thoracic duct leakage.
Chest, 106 (1994), pp. 1.233-1.234
[13.]
D. Graham, D. McGahren, C. Tribble, T. Daniel, B. Rodgers.
Use of video-assisted thoracic surgery in the treatment of chylothorax.
Ann Thorac Surg, 57 (1994), pp. 1.507-1.512
Copyright © 1997. Sociedad Española de Neumología y Cirugía Torácica
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