Journal of Yeungnam Medical Science
- 제31권1호
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- Pages.65-68
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- 2014
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- 2799-8010(eISSN)
DOI QR Code
결핵성 흉막염 치료 후 반복되는 가성유미흉의 수술적 치료
Surgical treatment of recurrent pseudochylothorax occurring after therapy of tuberculous pleurisy
- 이재령 (국립중앙의료원 내과) ;
- 김우식 (국립중앙의료원 흉부외과) ;
- 정은정 (국립중앙의료원 병리과) ;
- 정유나 (국립중앙의료원 내과) ;
- 이희숙 (국립중앙의료원 내과) ;
- 조기호 (국립중앙의료원 내과) ;
- 이지연 (국립중앙의료원 내과)
- Yi, Jae Ryung (Department of Internal Medicine, National Medical Center) ;
- Kim, Woo Sik (Department of Thoracic Surgery, National Medical Center) ;
- Jeong, Eun Jung (Department of Pathology, National Medical Center) ;
- Jung, Yu Na (Department of Internal Medicine, National Medical Center) ;
- Lee, Hee Sook (Department of Internal Medicine, National Medical Center) ;
- Jo, Gi Ho (Department of Internal Medicine, National Medical Center) ;
- Lee, Ji Yeon (Department of Internal Medicine, National Medical Center)
- 투고 : 2013.09.01
- 심사 : 2013.09.26
- 발행 : 2014.06.30
초록
Pseudochylothorax is an uncommon pleural effusion disease characterized by the presence of cholesterol crystals or high lipid content not resulting from a disrupted thoracic duct. Most of the cases reported so far had been found in patients with long-standing pleural effusion due to a chronic inflammatory disease such as old tuberculous pleurisy or chronic rheumatoid pleurisy. Authors encountered a case of pseudochylothorax in a 45-year-old man who had been treated for tuberculous pleurisy 6 years before his visit to authors' hospital. After that, he had visited the emergency department many times for removal of pleural effusion. The patient's chest X-ray revealed dyspnea and large left-sided pleural effusion. Although a large amount of pleural fluid was removed with a drainage catheter, massive pleural effusion was likely to recur, and the underlying lung was able to fully re-expand. Accordingly, decortication was done, and the patient's symptom was improved without postoperative complications.