CHEST
Selected ReportsSomatostatin in the Treatment of Chylothorax
Section snippets
Case Report
A 79-year-old woman was admitted to St. Mary Hospital inHoboken, NJ, complaining of progressively debilitating weakness and dyspnea. Her non-Hodgkin's lymphoma had been in remission with chemotherapy of f and on for > 8 years. She admitted having a heavysensation in her chest. She was alert, and the only physical findingswere the absence of breath sounds and dullness to percussion on theleft chest. On chest radiography, she had almost complete opacificationof the left hemithorax. Laboratory
Comment
It has been a decade since the arrest of lymphorrhagia in the neckwas observed after the use of somatostatin.3 Nine yearslater, chylothorax was treated by the somatostatin analog, octreotide, in a 4-month-old boy.4 It took 2 days for the lymphorrheato stop in the first patient and 11 days in the second patient. In ourpatient, the lymphorrhea stopped by the third day.
When thoracic duct ligation was first proposed in 1948, the mortalityassociated with chylothorax was reduced from 50 to 15%.1Most
References (5)
Traumatic chylothorax [letter]
J Thorac Surg
(1948)- et al.
Reduction of lymphorrhagia from ruptured thoracic duct by somatostatin [letter]
Lancet
(1990)
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