Chylothorax after Endoscopic SympathectomyCase Report
作者:
Wan-Chun Cheng,
Chen-Nen Chang,
Tzu-Kang Lin,
期刊:
Neurosurgery
(OVID Available online 1994)
卷期:
Volume 35,
issue 2
页码: 330-332
ISSN:0148-396X
年代: 1994
出版商: OVID
关键词: Chylothorax;Hyperhidrosis palmaris;Sympathectomy;Tube thoracotomy
数据来源: OVID
摘要:
ENDOSCOPIC SYMPATHECTOMY IS a new trend for the treatment of hyperhidrosis palmaris. It is a simple and effective technique; however, it carries some recognized risks such as Horner's syndrome and pneumohemothorax. We recently encountered a case complicated by the development of a chylothorax. The patient was a 23-year-old healthy woman with profuse palmar sweating. She developed an intractable dry cough after a transthoracic endoscopic sympathectomy. A chest x-ray revealed a left pleural effusion. A chylous effusion was found after thoracentesis and fluid analysis. The pleural effusion resolved after chest tube drainage and diet control. Although endoscopic sympathectomy is a simple and quick procedure, unusual complications, such as chylothorax, may occur. Appropriate early recognition and treatment can prevent a disastrous result.
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