Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Idiopathic Chylothorax and Chyluria

원인 미상으로 Chylothorax와 Chyluria가 병발한 1예

  • Choi, Jung Min (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Oh, Hyoung-Chul (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Yi, Myung Zoon (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Yun, Jae Pil (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Jae Il (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Woo Sung (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Dong Soon (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Won Dong (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Shim, Tae Sun (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center)
  • 최정민 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 오형철 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이명준 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 윤재필 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김재일 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김우성 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김동순 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김원동 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 심태선 (울산대학교 의과대학 서울아산병원 호흡기내과)
  • Received : 2004.07.28
  • Accepted : 2004.08.19
  • Published : 2004.10.30
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Abstract

We report a rare case of idiopathic chylothorax and chyluria. A 31 year-old woman was referred to our hospital with a right-sided pleural effusion. Cream-colored pleural fluid and urine were confirmed as chylothorax and chyluria, respectively, by a lipoprotein electrophoresis. Even though she had previously underwent surgery for pelvic fibrosarcoma and experienced its recurrence, there has been no change of mass size and no evidence of thoracic duct or urinary tract obstruction as of the moment. Hence, idiopathic chylothorax and chyluira was diagnosed. Because she responded poorly to conservative treatment, thoracic duct ligation and pleurodesis were performend ; wherease chyluria was resolved spontaneously.

유미흉은 주로 악성종양에 의한 흉관의 폐쇄, 유미뇨는 림프관과 요관과의 누공형성이 주된 원인이다. 저자들은 유미흉의 원인으로 섬유육종에 의한 흉관폐쇄, 유미뇨의 원인으로 요로계와 림프관의 누공형성을 의심하였으나 검사상 증거를 찾을 수 없어 특발성 유미흉 및 특발성 유미뇨로 진단한 1예를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Light, RW. Pleural diseases. Fourth edition. Lippincott Williams & Wilkins. 2001;327-38
  2. Villena V, de Pablo A, Martín-Escribano P. Chylothorax and chylous ascites due to heart failure. Eur Respir J 1995;8:1235-6
  3. Park KJ, Byun SH, Hwang JS, Chung YH. A case of chylous ascites with chylothorax. J Korean Pediatr Soc 1984;27:174-7
  4. Chu SC, Horiba K, Usuki J, Avila NA, Chen CC, Travis WD, et al. Comprehensive evaluation of 35 patients with lymphangioleiomyomatosis. Chest 1999;115:1041-52
  5. Han SG, Heo JH, Lee KI, Kim HJ, Pai YM, Whang YH, et al. A case of idiopathic bilateral chylothorax treated by conservative approach. Tuberc Respir Dis1998;45:1082-6
  6. Hemal AK, Gupta NP. Retroperitoneoscopic lymphatic management of intractable chyluria. J Urol 2002;167:2473-6
  7. Paik YH, Cho YJ, Koo DS, Ree HI, Shim JC. Studies on the current epidemiological situation of brugian filariasis in endemic areas in Korea. Korean J Parasitol 1988;26:255-62
  8. Hanna J, Truemper E, Burton E. Superior vena cava thrombosis and chylothorax: relationship in pediatric nephrotic syndrome. Pediatr Nephrol 1997;11:20-2
  9. Moss R, Hinds S, Fedullo AJ. Chylothorax: a complication of the nephrotic syndrome. Am Rev Respir Dis 1989;140:1436-7