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Middle Aged Female with Shortness of Breath, Congestive Heart Failure and Left Pleural Effusion-What is the Diagnosis? | OMICS International| Abstract
ISSN: 2161-1165

Epidemiology: Open Access
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  • Case Report   
  • Epidemiology (Sunnyvale) 2016, Vol 6(3): 254
  • DOI: 10.4172/2161-1165.1000254

Middle Aged Female with Shortness of Breath, Congestive Heart Failure and Left Pleural Effusion-What is the Diagnosis?

Andrey Manov*
JPS Health Network, , Fort Worth, Texas, USA
*Corresponding Author : Andrey Manov, JPS Health Network, 201 S Sylvania Ave, Fort Worth, TX-76111, USA, Tel: 817-702-2478, Email: [email protected]

Received Date: May 23, 2016 / Accepted Date: Jun 24, 2016 / Published Date: Jun 30, 2016

Abstract

A chylothorax is formed when the thoracic duct is disrupted and the chyle enters the thoracic space. The causes are traumatic-surgery or trauma to the chest and non-traumatic with malignancy and specifically lymphoma playing major role, idiopathic and miscellaneous-sarcoidosis, cirrhosis of the liver, heart disease, childbirth, Castleman's disease. Retrosternal goiter is an extremely rare cause of chylothorax and the first case described was in 1996. We are describing a 44 year old African-American female with left pleural effusion and multiple admissions due to it to the hospital. The left pleural effusion was attributed to be a result of heart failure with preserved ejection fraction which the patient had. Despite aggressive dieresis the patients left pleural effusion and shortness of breath persisted which let to 3 admissions to the hospital. After investigating further the effusion turned out to be chylothorax due to compression and disruption of the thoracic duct by enlarged retrosternaly located multinodular goiter. After left lobectomy and removal of the isthmus of the thyroid the left chylothorax resolved and never recurred in the following 4-years.

Keywords: Chylothorax, Multinodular goiter, Heart failure with preserved ejection fraction, Shortness of breath

Citation: Manov A, Subramaniam S, Yi D, Vories A (2016) Middle Aged Female with Shortness of Breath, Congestive Heart Failure and Left Pleural Effusion-What is the Diagnosis?. Epidemiology (Sunnyvale) 6:254. Doi: 10.4172/2161-1165.1000254

Copyright: © 2016 Manov A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Sienna Cox
    Posted on Oct 03 2016 at 4:37 pm
    The article describes a case of occurrence of chylothorax in a 44 years old African-American female patient. The authors managed to provide a clear picture on the anatomical and physiological complications associated with it. The articles can be considered a reference for clinical cases related to chylothorax.
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