Salvage and Reinfusion of Chyle in Closed Chest Injury

Abstract

The aim of this study was to describe a system of salvaging and reinfusing chyle which accumulated in the right pleural cavity of a patient after a thoracic duct lesion caused by a closed chest injury associated with amyelic fracture of the dorsal spine D10-D11. The chyle was collected in a reservoir (BT 844 Dideco), transfered by an electronic pump (BT 797 recovery Dideco) to a storage bag, microfiltered and then reinfused to the patient.

A solution was needed to prevent the patient with severe chylothorax, from having immunological and metabolic imbalance. The long period of conservative treatment with our system was imposed by the onset of acute post-traumatic myocardic infarction which delayed surgery.

From experience gained, we can say that using total parenteral nutrition, chyle can not only be salvaged but also reinfused, respecting the strict rules of hygiene.

Keywords

Closed chest injury Thoracic duct lesion Salvage and reinfusion chylothorax

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