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  • Title: Simultaneous occurrence of chylothorax and subarachnoid pleural fistula after thoracotomy.
    Author: Rice TW, Kirsh JC, Schacter IB, Goldberg M.
    Journal: Can J Surg; 1987 Jul; 30(4):256-8. PubMed ID: 3607639.
    Abstract:
    A left chylothorax complicated elective left posterolateral thoracotomy and emergency decompressive laminectomy carried out on a 32-year-old woman with a benign neurofibroma. Failure of conservative therapy necessitated ligation of the thoracic duct and this in turn unmasked the concomitant subarachnoid-pleural fistula. Surgical repair and lumbar subarachnoid drainage were required to close the second fistula. The clinical setting, diagnosis and management of this uncommon condition are reviewed.
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