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10.5606/tgkdc.dergisi.2011.109
A case of non-Hodgkin's lymphoma presented with tension chylothorax
Ekber Şahin1, Burçin Çelik2, Aydın Nadir1, Melih Kaptanoğlu1
1Cumhuriyet Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Sivas
2Ondokuz Mayıs Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Samsun
DOI : 10.5606/tgkdc.dergisi.2011.109
We present an unusual case of diffuse large B-cell lymphoma
which initially presented as tension chylothorax. A 24-yearold
man was admitted to our clinic with the complaints
of dyspnea, fever, and sweating. Chest X-ray revealed a
massive right pleural effusion. The patient was diagnosed with
chylothorax and a right tube thoracostomy was performed.
Thorax computed tomography revealed parenchymal
infiltration in the right lower lobe, right hydropneumothorax,
and multiple paratracheal lymphadenopathies. The general
status of the patient was poor, and the submandibular lymph
node was excised for pathological diagnosis. The general
status of the patient gradually got worse and on the 13th day
of the admission, intubation and mechanical ventilation were
instituted. The pathological diagnosis of the lymph node was
reported as diffuse large B-cell lymphoma, and the patient
died only two days after the histopathological diagnosis.
Chylothorax may arise as a complication of lymphoma. While,
there are no reports on the frequency of this occurrence, it is
associated with a high mortality rate when the patient presents
with tension chylothorax.
Keywords : Chylothorax; non-Hodgkin’s lymphoma; tension chylothorax
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