%0 Journal Article
%T An Extraordinary Case of Idiopathic Chylothorax in a Rural Setting
%A Kevin Chow Kuan Yee
%A Ong Tze Hern
%A Ng Zxai Ching
%A Naganathan Pillai
%A Adelyn Henry
%A Lee Tiong Chan
%J Open Access Library Journal
%V 5
%N 10
%P 1-7
%@ 2333-9721
%D 2018
%I Open Access Library
%R 10.4236/oalib.1104924
%X
Chylothorax is a rare cause of pleural effusion, which can be divided into traumatic and non-traumatic causes. Often, the cause of a non-traumatic chylothorax is challenging. We report a young gentleman with idiopathic chylothorax who was diagnosed in a rural hospital with limited resources. This was confirmed on clinical presentation, pleural fluid analysis, CECT imaging and a diagnostic lymphangiogram. Contrast enhanced imaging did not reveal any secondary pathology. The chylothorax was subsequently drained and he was referred to a tertiary centre for definitive treatment. Managing chylothorax can be challenging in a rural setting due to the lack of relevant expertise and facilities. A timely diagnosis and treatment of chylothorax would require appropriate investigations to elucidate any underlying pathology and the lymphangiogram as a useful tool in diagnosis.
%K Chylothorax
%K Pleural Effusion
%K Lymphangiogram
%K Rural Setting
%U http://www.oalib.com/paper/5300031