ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Unilateral massive transudative pleural effusion due to a duropleural fistula
İpek Özmen1, Emine Aksoy1, Nilüfer Kongar1, Güliz Ataç1, Tülin Sevim1, Kadriye Terzioğlu2, Erhan Çelikoğlu3, Kemal Tahaoğlu4
Department of Chest Diseases, Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
1Department of Chest Diseases, Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
2Department of Chest Diseases, Mardin State Hospital, Mardin, Turkey
3Department of Neurosurgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey
4Department of Chest Diseases, Anadolu Medical Center, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.7605
Twenty three-year-old man had thoracal spinal cord surgery for gunshot injury three months ago. He had right hemiplegia and paraplegia for the past two months. He was admitted with poor performance status and progressive, severe dyspnea. Chest X-ray showed massive pleural effusion on the right side. Thoracentesis showed transudative pleural fluid. Duropleural fistula was considered due to the history of spinal injury and surgery. The presence of cerebrospinal fluid in the pleural fluid was demonstrated by beta-2 transferrin test. After the demonstration of the presence of duropleural fistula on intrathecal contrast-enhanced computed tomography scan surgical management of the duropleural fistula was successfully repaired by duroplasty. This case was presented as a complication of spinal cord injury and neurosurgery duropleural fistula is a very rare reason of massive transudative pleural effusions and the use of the cerebrospinal fluid by beta-2 transferrin in pleural effusion is reported very rare in the literature.
Keywords : Beta-2 transferrin; duropleural fistula; transudative effusion
Viewed : 8320
Downloaded : 2191