Traumatic Chylothorax Forthcoming-1figur
Traumatic Chylothorax Forthcoming-2 figu
Traumatic Chylothorax Forthcoming-2figur
Traumatic Chylothorax Forthcoming-2figur
Traumatic Chylothorax from a Suprascapular Stab Wound

Tunde Oyebanji, Jameel Ahmad, Ismail Inuwa

Bayero University, Kano/ Aminu Kano Teaching Hospital, Kano State, Nigeria

Correspondence to: Dr.TundeOyebanji, PMB 3452, Kano State, Nigeria; email: dhulnurein@yahoo.com

Summary

Reports are few of chylothorax complicating stab wounds to the left suprascapular region. We report a case of traumatic chylothorax following a stab wound to the suprascapular region in a 14-year-old boy. He presented with progressive dyspnoea and signs of a pleural effusion. This was confirmed by radiology and thoracocentesis to be a hemothorax. The hemothorax was drained by tube thoracostomy. He developed chylothorax on the third day after inserting the chest tube. Biochemical analysis confirmed chylothorax, which was managed conservatively. The chest tube was removed after it stopped draining. We discuss the pathogenesis of this form of chylothorax and the management options.

 

Keywords: Chylothorax, Poirier’s triangle, Stab, Trauma

Ann Afr Surg. 2020; 17(1): 39–41.

DOI: http://dx.doi.org/10.4314/aas.v17i1.10

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

Introduction

The thoracic duct (TD) is rarely injured by blunt or penetrating trauma, because it lies deep within the thorax. Nevertheless, when chylothorax results from a penetrating chest injury, it usually is the result of trauma to the supraclavicular region or the suprasternal notch (1-3). Few reports exist of chylothorax resulting from a penetrating injury to the left suprascapular region (1). We present a patient with chylothorax following a stab wound to the suprascapular region, and also contribute to the literature on the management of traumatic chylothorax.

 

Case Report