A stepwise approach for the management of bilateral chylothoraxes from cisterna chyli trauma.

Vincent Phan, Syed H Ali, Brady Olson, Raj Keriwala

Abstract readCase Reports

In one paragraph

Article in Respiratory medicine case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Chronic Chylothorax in Childhood: Clinical Complexity and Management Challenges-A Case Report and Literature Overview.Diagnostics (Basel, Switzerland) · 2026
Article

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vincent PhanDepartment of Internal Medicine, University of Texas at Austin Dell Medical School, Austin, TX, USA.

Syed H AliDepartment of Internal Medicine, University of Texas at Austin Dell Medical School, Austin, TX, USA.

Brady OlsonDepartment of Pulmonary Critical Care Medicine, University of Texas at Austin Dell Medical School, Austin, TX, USA.

Raj KeriwalaDepartment of Pulmonary Critical Care Medicine, University of Texas at Austin Dell Medical School, Austin, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chylothorax is a rare complication characterized by chyle accumulation in the pleural space, leading to respiratory and nutritional deficits. We present a 53-year-old male who developed bilateral high-output chylothorax following radical nephrectomy and lymph node dissection for renal cell carcinoma. Despite conservative management with a fat-free diet, total parenteral nutrition, and octreotide, chyle output remained >1L/day. Lymphangiography identified thoracic duct leakage, but embolization and cisterna chyli fenestration were unsuccessful. The patient ultimately underwent video-assisted thoracoscopic surgery (VATS) with talc pleurodesis, resulting in resolution. This case highlights the importance of a multidisciplinary, stepwise approach in managing refractory chylothorax, with VATS and talc pleurodesis as effective interventions when conservative therapies fail.

Indexed as

ChylothoraxCisterna chyli traumaPleurodesisVideo-assisted thoracoscopic surgery

Identifiers

PMID40330873

DOI10.1016/j.rmcr.2025.102218

PMCPMC12051640

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.