A Somalian Female with Bilateral Chylothorax as Complication with Non-Hodgkin Lymphoma: A Rare Case Report

Ahmed AA Ekim T, Abdinur AH, Mukhtar MS and Mohamed YG

Department of Thoracic Surgery, Mogadishu Somalia Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia Department of Pulmonology, Mogadishu Somalia Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia Department of Radiology, Mogadishu Somalia Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia

^*Correspondance to: Abdullahi Abdi Ahmed 

 PDF  Full Text DOI: 10.25107/2474-1647.3673

Abstract

When lymphatic fluid enters the thoracic duct and accumulates in the pleural space, this is referred to as chylothorax bilateral chylothorax due to Chronic Lymphocytic Leukemia (CLL) has been published rarely in the literature. Lymphoma accounts for around 70% of cases due to malignancy. Chylothorax is an uncommon and poorly defined complication of non-Hodgkin and Hodgkin’s lymphomas of any histological type or grade. The bilateral chylothorax caused by lymphoma has also been rarely reported in the literature. A 49-year-old Somalian woman complained of chest pain for two weeks, which was gradually aggravated by high-fat foods associated with dyspnea. Coughing for 20 days with intermittent coughing in the first week was unproductive, but after a week, the cough had become productive. On admission, vital signs were recorded as unstable. Non-contrast thoracic CT and abdominal CT had shown moderate bilateral effusion and passive atelectasis, and clustered homogeneous enhanced soft tissue lesions in the mid-abdomen clinically appeared as lymphomas. In the emergency department, a bilateral chest tube is inserted. Left and right drainage were 2000 ml and 1500 ml, respectively. Fine Needle Aspiration (FNA) was used to biopsy palpable inguinal lymph nodes, and its cytomorphological findings correlated with non- Hodgkin lymphoma and chemotherapy is started. Chylothorax should be suspected in patients with lymphoma who arrive with a bilateral pleural effusion, and pleural fluid TG levels should be tested. Bilateral chylothorax in lymphoma is an exceptionally unusual manifestation. If the chylothorax is bilateral, traumatic rupture is a less likely etiology, in such circumstances, a lymph node biopsy should be recommended.

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Cite the article

Ahmed AA, Ekim T, Abdinur AH, Mukhtar MS, Mohamed YG. A Somalian Female with Bilateral Chylothorax as Complication with Non-Hodgkin Lymphoma: A Rare Case Report. Clin Surg. 2023; 8: 3673.