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  • Title: Chylothorax as a complication of radical nephrectomy.
    Author: Cespedes RD, Peretsman SJ, Harris MJ.
    Journal: J Urol; 1993 Dec; 150(6):1895-7. PubMed ID: 8230529.
    Abstract:
    We report a case of chylo-retroperitoneum and chylothorax following an uneventful left radical nephrectomy for renal cell carcinoma, and propose the mechanism of an infradiaphragmatic lymphatic injury with fistulous connection into the chest. Treatment with oral medium chain triglycerides was unsuccessful. Subsequently, total parenteral nutrition in conjunction with chest drainage, retroperitoneal drainage and sclerotherapy successfully treated the chylothorax. To our knowledge chylothorax following radical nephrectomy has not been reported previously in the literature.
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