第9巻 2013年6月　第3号

■症例報告

胸腔ドレナージ後に乳糜胸を発症した自然気胸の1例
窪倉　浩俊¹, 大塚　雅美², 岡本　淳一¹, 臼田　実男^3
1日本医科大学武蔵小杉病院呼吸器外科
²日本医科大学武蔵小杉病院専修医
³日本医科大学付属病院呼吸器外科

A Case of Chylothorax Causing to Chest Tube Insertion for Spontaneous Pneumothorax
Hirotoshi Kubokura¹, Masami Otsuka², Junichi Okamoto¹ and Jitsuo Usuda^3
1)Department of Thoracic Surgery, Nippon Medical School Musashi Kosugi Hospital
²⁾Resident, Nippon Medical School Musashi Kosugi Hospital
³⁾Department of Thoracic Surgery, Nippon Medical School

We report the case of a 16-year-old boy who developed chylothorax after the chest tube insertion for spontaneous pneumothorax. The patient was admitted to our hospital for right spontaneous pneumothorax that required thoracic drainage. After chest tube insertion, we noticed chylous effusion discharging from the tube. Although this discharge of chylous effusion gradually decreased after the patient was put on a fat-restricted diet, we performed video-assisted thoracic surgery (VATS) for continuous air leakage 9 days after admission. The patient's postoperative course was excellent. The chest tube was removed 5 days after surgery (POD5), and the patient was discharged the following day (POD6).
Chest tube insertion was usually a blind procedure; therefore, the location of the chest tube should receive special attention in order to prevent any unexpected thoracic injury.

日医大医会誌 2013; 9(3), 156-159

Key words
chylothorax, thoracic drainage, pneumothorax, video-assisted thoracic surgery (VATS)

Correspondence to
Hirotoshi Kubokura, MD, PhD, Department of Thoracic Surgery, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
E-mail：kubokura@nms.ac.jp

受付：2013年1月31日　受理：2013年3月1日