Late-onset chylothorax during chemotherapy after lobectomy f
Chylothorax is usually diagnosed within a few days after lobectomy. Late-onset chylothorax following trauma or thoracic surgery is rare but potentially lethal, lacking reliable preventive methods.

A 54-year-old male patient complained of dyspnea during adjuvant chemotherapy on the 35th postoperative day after right middle lobectomy and systemic lymph node dissection (SLND) for lung cancer. His computed tomography indicated massive pleural effusion filling in the right chest cavity. The patient was primarily diagnosed as late-onset chylothorax, without definite evidence to exclude spontaneous chylous leakage.

Uniportal video-assisted thoracoscopic thoracic duct ligation (TDL) was performed for him, as conservative treatment using octreotide with fat-free diet turned out to be ineffective. His pleural effusion was gradually diminished after reoperation, and the patient was discharged 9 days after TDL.

Source: Medicine: May 2019 - Volume 98 - Issue 22 - p e15909

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