Quilotórax espontâneo associado a atividade física leve

Abstract

Chylothorax occurs when there is rupture, laceration or obstruction of the thoracic duct, resulting in the release of chyle into the pleural space. Chylothorax can occur in cases of congenital lymphatic malformation, lymphoma, mediastinal tumor and infectious disease, as well as during surgical procedures and after traffic accident-related trauma. It can also be idiopathic. The condition presents clinical signs of dyspnea, hypotension, generalized edema and cyanosis. The diagnosis is usually made through thoracocentesis, and the treatment is conservative. Spontaneous chylothorax is an uncommon form of pleural effusion, and its diagnosis should be hypothesized only after all other causes have been ruled out. Herein, we describe a case of spontaneous chylothorax associated with light physical activity at a fitness center.

Infected chylothorax: a case report and review

“…Patient reported slowly worsening dyspnea over the last six weeks without any other symptoms that had acutely worsened on morning of presentation Initial vital signs were temperature 38.0C, heart rate 115, blood pressure 81/60mmHg, and respiratory rate 30 breaths/min on 4L O2 by nasal cannula; labs significant for white blood cell count of 3100/mm 3 Chart review demonstrated an emergency department visit five months previously for a fall with acute left-sided rib fractures and minimal left-sided pleural effusion.…”

“…Traumatic causes commonly include iatrogenic injury and chest trauma, although insults as minor as sneezing, light exercise and emesis have been reported (1)(2)(3). Nontraumatic chylothorax has been linked to several immunologic and infectious etiologies (1).…”

Pleural Effusion following Yoga: A Report of Delayed Spontaneous Chylothorax and a Brief Review of Unusual Cases in the Literature

“…Although there are a few reported cases of chylothorax after light exercises or a workout (Table 1), chylous effusion resulting from only the hyperextension of the neck secondary to the yoga exercise has not been reported in the literature [18][19][20][21][22][23]. In our case, the patient presented with respiratory symptoms 2 weeks following a yoga class, hence this was also a delayed presentation.…”

Transient spontaneous chylothorax presented with neck pain and swelling in a patient with latent TB: Case report

“…Spontaneous chylothorax with no apparent cause was reported in few cases, minimal physical activity or sudden head movement especially neck hyperextension was thought to be the precipitating factor along with recurrent vomiting, hiccups, and cough. 9,11 It was suggested that there should be a weak point from pre-existing disease to cause thoracic duct rupture with minimal exercise, reported cases had either active or previous TB infection, 9,13 the presence of positive QuantiFERON raise the possibility of latent TB which could have played a role in causing disruption of the thoracic duct. There was no evidence of active TB in our patient, and the spontaneous resolution of pleural fluid can support that.…”