Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2021; 9(22): 6522-6530
Published online Aug 6, 2021. doi: 10.12998/wjcc.v9.i22.6522
Chylothorax following posterior low lumbar fusion surgery: A case report
Xian-Ming Huang, Ming Luo, Li-Yu Ran, Xuan-He You, Di-Wei Wu, Shi-Shu Huang, Quan Gong
Xian-Ming Huang, Ming Luo, Li-Yu Ran, Xuan-He You, Di-Wei Wu, Shi-Shu Huang, Quan Gong, Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Huang XM and Gong Q were the patient’s surgeons, reviewed the literature, and contributed to manuscript drafting; Luo M and Ran LY reviewed the literature and contributed to manuscript drafting; You XH and Wu DW consulted the effusion analyses and interpretation and contributed to manuscript drafting; Gong Q analyzed and interpreted the imaging findings; Huang SS and Gong Q were responsible for the revision of the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81874027.
Informed consent statement: The participant provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shi-Shu Huang, MD, PhD, Professor, Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, Sichuan Province, China. h0794062@scu.edu.cn
Received: April 10, 2021
Peer-review started: April 10, 2021
First decision: May 11, 2021
Revised: May 15, 2021
Accepted: May 25, 2021
Article in press: May 25, 2021
Published online: August 6, 2021
Processing time: 108 Days and 18.9 Hours
Core Tip

Core Tip: Differential diagnosis is crucial for idiopathic chylothorax. The diagnosis should be confirmed by laboratory tests and treatment trials. Comprehensive conservative treatments are regarded as the first-line therapy in idiopathic chylothorax patients. To reduce the formation of chyle, fasting and adequate supportive therapy are effective and recommended. Intraoperative protections are necessary to avoid unexpected complications.