Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi
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Quilotórax bilateral espontâneo após vômitos excessivos em criança
Objective
To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.
Case description
Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.
Comments
Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.
期刊介绍：
The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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