Chylous effusion (Q42966): Difference between revisions

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Um derrame quiloso (quilotórax) é definido pela presença de quilo no espaço pleural como resultado de obstrução ou ruptura do ducto torácico ou de um de seus principais tributários. Uma concentração de triglicérides >110 mg/dL é virtualmente diagnóstica, mas a presença de quilomícrons confirma este diagnóstico. No entanto, um quilotórax definido por estes critérios representa um grupo heterogêneo de entidades clínicas. A presença de quilomícrons ou níveis de triglicérides >110 mg/dL em um derrame pleural devem ser considerados como evidência de vazamento de quilo com significado clínico indeterminado. Muitos casos de derrame quiloso podem estar associados a outras causas de acúmulo de líquido pleural.
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A chylous effusion (chylothorax) is defined by the presence of chyle in the pleural space resulting from obstruction or disruption of the thoracic duct or one of its major tributaries. A triglyceride concentration > 110 mg/dL is virtually diagnostic, but the presence of chylomicrons confirms the diagnosis. However, a chylothorax defined by these criteria represents a heterogeneous group of clinical entities. The presence of chylomicrons or triglyceride levels > 110 mg/dL in a pleural effusion should be considered evidence of chyle leakage of indeterminate clinical significance. Many cases of a chylous effusion may be associated with other causes of pleural fluid formation.

Revision as of 09:44, 13 August 2026

A chylous effusion (chylothorax) is defined by the presence of chyle in the pleural space resulting from obstruction or disruption of the thoracic duct or one of its major tributaries. A triglyceride concentration > 110 mg/dL is virtually diagnostic, but the presence of chylomicrons confirms the diagnosis. However, a chylothorax defined by these criteria represents a heterogeneous group of clinical entities. The presence of chylomicrons or triglyceride levels > 110 mg/dL in a pleural effusion should be considered evidence of chyle leakage of indeterminate clinical significance. Many cases of a chylous effusion may be associated with other causes of pleural fluid formation.
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    English
    Chylous effusion
    A chylous effusion (chylothorax) is defined by the presence of chyle in the pleural space resulting from obstruction or disruption of the thoracic duct or one of its major tributaries. A triglyceride concentration > 110 mg/dL is virtually diagnostic, but the presence of chylomicrons confirms the diagnosis. However, a chylothorax defined by these criteria represents a heterogeneous group of clinical entities. The presence of chylomicrons or triglyceride levels > 110 mg/dL in a pleural effusion should be considered evidence of chyle leakage of indeterminate clinical significance. Many cases of a chylous effusion may be associated with other causes of pleural fluid formation.

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