CHYLOTHORAX is a relatively rare condition characterized by pleural fluid that has a high concentration of neutral fat and fatty acid but little cholesterol. Bilateral chylothorax is even more unusual. Trauma and tumor are responsible for the majority of the 51 cases of bilateral chylothorax that we were able to find in a search of the literature.
Meade has reported five cases of unilateral chylothorax that he believed were due to hyperextension of the spine with fixation or inherent weakness of the thoracic duct. We describe what we believe is the first reported case of bilateral chylothorax caused by this mechanism.
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