• Kurume Med J · Jan 2000

    Case Reports

    Bilateral pleural effusion following cervical abscess drainage: a case report.

    • M Fukunaga, K Tayama, S Takamori, T Matsuo, M Mitsuoka, K Miwa, A Hayashi, and K Shirouzu.
    • Department of Surgery, Kurume University School of Medicine, Japan.
    • Kurume Med J. 2000 Jan 1; 47 (3): 239-41.

    AbstractPostoperative bilateral chylothorax after cervical surgery has been rarely reported, whereas unilateral chylothorax has been occasionally reported after thoracic surgery. Here, we report a rare case of bilateral pleural effusion that developed after cervical abscess drainage. On the second day after the drainage, the patient felt dyspnea, and bilateral pleural effusion was found on a chest X-ray. The effusion was thought to be chyle and was successfully treated with conservative management. Additionally here, we have suggested that non-traumatic chylothorax was caused by increasing intraluminal pressure occurring inside the thoracic duct after its ligation. Careful follow up of any respiratory symptoms and of chest X-rays is recommended after cervical intervention.

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