Abstract

REYNA SEPULVEDA, Francisco et al. Fibrosis mediastinal, una causa poco frecuente de quilotórax bilateral: Reporte de caso. Rev. am. med. respir. [online]. 2016, vol.16, n.4, pp.380-382. ISSN 1852-236X.

Background: The prescience of chylothorax is defined as pleural liquid with abundant concentrations of chylomicrons, with high levels of triglycerides, more than 110 mg/dl and low in cholesterol. Between the most frequent causes of non-traumatic chylothorax are secondary to a surgical procedure, hematologic neoplasms and mediastinal tumors. Objective: Report de success rate of the therapeutic technique used in this patient. Clinical Case: A 48-year-old female with history of 1 year of lumbar pain, a computer tomography was performed where mediastinal tumor and bilateral pleural effusion was diagnosed. A thoracentesis was performed diagnosing bilateral chylothorax. Medical treatment was started without improvement, a left thoracotomy and right thoracoscopy with chemical pleurodesis were performed. Patient improved clinically, dependent of oxygen. Final pathologic exam reported IgG4 negative fibrosant mediastinitis. Discussion: The symptoms of presentation of the disease are not specific and depend on the invasion to adjacent thoracic organs, with the consequent formation of bilateral chylothorax. Conclusions: No curative treatment exists for this disease. It presents with variable mortality, some of 30% at 6 years and it is related with intrathoracic organ affection.

Keywords : Quilotórax; Fibrosis; Mediastinal; Chylothorax; Mediastinal; Fibrosis.

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