Abstract
Blunt trauma is the leading cause of death of children and adolescents in the United States. Potentially life-threatening injuries from blunt trauma to the chest must be identified and treated immediately. Clinician familiarity with the range of possible injuries assists in timely diagnosis and therapy. Chylothorax from injury to the thoracic duct is a rare consequence of blunt chest trauma. Tension chylothorax is exceptionally rare. We present a case of a 22-month old boy found to have a traumatic tension chylothorax during initial evaluation in the resuscitation bay after transfer from another facility. There have been no previous reports of a pediatric tension chylothorax after blunt trauma. Management consisted of drainage with tube thoracostomy, parenteral nutrition, and octreotide until the chyle leak resolved. Surgical ligation of the thoracic duct was not required.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 163-165 |
| Number of pages | 3 |
| Journal | Journal of Pediatric Surgery Case Reports |
| Volume | 3 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2015 |
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Keywords
- Chylothorax
- Tension chylothorax
- Traumatic chylothorax
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
Cite this
Traumatic tension chylothorax in a child : A case report. / Snow, Burkley D.; Salcedo, Edgardo; Galante, Joseph M; Greenholz, Stephen K.
In: Journal of Pediatric Surgery Case Reports, Vol. 3, No. 4, 2015, p. 163-165.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Traumatic tension chylothorax in a child
T2 - A case report
AU - Snow, Burkley D.
AU - Salcedo, Edgardo
AU - Galante, Joseph M
AU - Greenholz, Stephen K.
PY - 2015
Y1 - 2015
N2 - Blunt trauma is the leading cause of death of children and adolescents in the United States. Potentially life-threatening injuries from blunt trauma to the chest must be identified and treated immediately. Clinician familiarity with the range of possible injuries assists in timely diagnosis and therapy. Chylothorax from injury to the thoracic duct is a rare consequence of blunt chest trauma. Tension chylothorax is exceptionally rare. We present a case of a 22-month old boy found to have a traumatic tension chylothorax during initial evaluation in the resuscitation bay after transfer from another facility. There have been no previous reports of a pediatric tension chylothorax after blunt trauma. Management consisted of drainage with tube thoracostomy, parenteral nutrition, and octreotide until the chyle leak resolved. Surgical ligation of the thoracic duct was not required.
AB - Blunt trauma is the leading cause of death of children and adolescents in the United States. Potentially life-threatening injuries from blunt trauma to the chest must be identified and treated immediately. Clinician familiarity with the range of possible injuries assists in timely diagnosis and therapy. Chylothorax from injury to the thoracic duct is a rare consequence of blunt chest trauma. Tension chylothorax is exceptionally rare. We present a case of a 22-month old boy found to have a traumatic tension chylothorax during initial evaluation in the resuscitation bay after transfer from another facility. There have been no previous reports of a pediatric tension chylothorax after blunt trauma. Management consisted of drainage with tube thoracostomy, parenteral nutrition, and octreotide until the chyle leak resolved. Surgical ligation of the thoracic duct was not required.
KW - Chylothorax
KW - Tension chylothorax
KW - Traumatic chylothorax
UR - http://www.scopus.com/inward/record.url?scp=84925455995&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925455995&partnerID=8YFLogxK
U2 - 10.1016/j.epsc.2015.02.010
DO - 10.1016/j.epsc.2015.02.010
M3 - Article
AN - SCOPUS:84925455995
VL - 3
SP - 163
EP - 165
JO - Journal of Pediatric Surgery Case Reports
JF - Journal of Pediatric Surgery Case Reports
SN - 2213-5766
IS - 4
ER -