A Case of Idiopathic Chylothorax and Chyluria.

Choi, Jung Min; Oh, Hyoung Chul; Yi, Myung Zoon; Yun, Jae Pil; Kim, Jae Il; Kim, Woo Sung; Kim, Dong Soon; Kim, Won Dong; Shim, Tae Sun

doi:2004.57.4.377

Tuberc Respir Dis > Volume 57(4); 2004 > Article

Case Report

Tuberculosis and Respiratory Diseases 2004;57(4):377-380.
DOI: https://doi.org/10.4046/trd.2004.57.4.377 Published online October 1, 2004.

A Case of Idiopathic Chylothorax and Chyluria.

Jung Min Choi, Hyoung Chul Oh, Myung Zoon Yi, Jae Pil Yun, Jae Il Kim, Woo Sung Kim, Dong Soon Kim, Won Dong Kim, Tae Sun Shim

Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. shimts@amc.seoul.kr

Abstract

We report a rare case of idiopathic chylothorax and chyluria. A 31 year-old woman was referred to our hospital with a right-sided pleural effusion. Cream-colored pleural fluid and urine were confirmed as chylothorax and chyluria, respectively, by a lipoprotein electrophoresis. Even though she had previously underwent surgery for pelvic fibrosarcoma and experienced its recurrence, there has been no change of mass size and no evidence of thoracic duct or urinary tract obstruction as of the moment. Hence, idiopathic chylothorax and chyluira was diagnosed. Because she responded poorly to conservative treatment, thoracic duct ligation and pleurodesis were performend ; wherease chyluria was resolved spontaneously.

Key Words: Chylothorax, Chyluria, Fibrosarcoma, Pleural effusion