%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