Arch Surg. 1941;43(4):627-632. doi:10.1001/archsurg.1941.01210160088012.
Text Size: A A A
Published online

Traumatic chylothorax is a relatively rare condition. In a recent comprehensive review of the subject, Shackelford and Fisher1 were able to collect only 43 authentic cases. They not only emphasized the rarity of traumatic chylothorax but also stressed the difficulty both of making an early diagnosis and of treating this condition. The reported mortality is approximately 50 per cent in spite of the various methods of therapy.

The causation of chylothorax has been summarized by McNab and Scarlett2 as follows:

I. Trauma

a. Closed trauma

1. Without fracture of bone

2. Accompanied by fracture of ribs, clavicle or vertebrae

b. Operative wounds

1. Duct severed

2. One or more terminals severed

c. Gunshot or stab wounds

II. New growth or granuloma outside the duct: carcinoma, lymphosarcoma, tuberculous glands

III. Thrombosis of the left subclavian vein

IV. New growth within the duct

V. Perforating lymphangitis

VI. Aneurysm of the


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.