Caso Clínico/Case Report
Quilotórax: A propósito de um caso clínico
Chylothorax – Case report
Ricardo José Brito Pereira de Lima1,
, Carla Cristina de Sousa Nogueira1, Javier Porteiro Sanchez2, Maria Teresa Shiang Tzer3, Maria Manuela Queirós Rola3
Corresponding author
ricardo9lima@hotmail.com
Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia / Espinho, Directora de Serviço – Dra. Bárbara Parente, R. Conceição Fernandes, Vila Nova de Gaia 4430-000 Vila Nova de Gaia.
Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia / Espinho, Directora de Serviço – Dra. Bárbara Parente, R. Conceição Fernandes, Vila Nova de Gaia 4430-000 Vila Nova de Gaia.
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Bárbara Parente, R. Conceição Fernandes, Vila Nova de Gaia 4430-000 Vila Nova de Gaia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chylothorax – Case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-21" "fechaAceptado" => "2008-12-31" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570289" "palabras" => array:5 [ 0 => "Quilotórax" 1 => "empiema" 2 => "pleurodese" 3 => "toracoscopia" 4 => "linfoma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570288" "palabras" => array:5 [ 0 => "Chylothorax" 1 => "empyema" 2 => "pleurodesis" 3 => "thoracoscopy" 4 => "lymphoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O quilotórax caracteriza-se pela presença de linfa no espaço pleural devido a lesão ou obstrução do ducto torácico. O diagnóstico é feito com base no elevado conteúdo de triglicéridos e na presença de quilomí-crons. A etiologia do quilotórax pode ser dividida em traumática e não traumática. A ruptura traumática ocorre após acidentes ou cirurgias. Das causas não traumáticas, a mais comum é o linfoma e, na presença de um quilotórax de etiologia desconhecida, a primei-ra suspeita diagnóstica deverá ser dirigida para esta entidade, sendo o tipo mais frequente o não Hodgkin. Os autores apresentam o caso de um doente com quilotórax, cujo diagnóstico etiológico foi de linfoma não Hodgkin, discutem os aspectos particulares do quilotórax, bem como a investigação e modalidades de tratamento desta entidade.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 521-527</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Chylothorax is the occurrence of lymph in the pleu-ra due to damage or obstruction of the thoracic duct. High content of triglycerides and the presence of chylomicrons make the diagnosis of chylothorax. Its aetiology can be divided in traumatic and non-traumatic. Traumatic rupture occurs after accidents or surgery. Within non-traumatic aetiology, lymphoma is the most common and in the presence of a chylothorax of unknown origin this should be the first suspicion, being non-Hodgkin type the most frequent.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">The authors present a case report of a patient with chylothorax due to non-Hodgkin lymphoma, discuss the particularities of chylothorax as well as the investigation and its treatment options.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 521-527</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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