Refractory chylothorax following a transhepatic gunshot wound to the abdomen requiring unorthodox surgical treatment.

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Abstract

An 18 year-old-male sustained a gunshot wound to the abdomen which required an uneventful hepatorrhaphy. He later returned with a large right effusion and was diagnosed with a chylothorax. The output was persistent despite conservative measures. Thoracotomy with attempted thoracic duct ligation was unsuccessful at decreasing the output. Re-exploration and ligation of the thoracic duct was required thru an abdominal approach.

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Cestero, J., Bukhary, H., Carrillo, E., Rosenthal, H., Pepe, A., Sanchez, R., & Lee, S. K. (2010). Refractory chylothorax following a transhepatic gunshot wound to the abdomen requiring unorthodox surgical treatment. Journal of Surgical Case Reports, 2010(6), 3. https://doi.org/10.1093/jscr/2010.6.3

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