If no defect is found, pleurodesis should be attempted. In conclusion, chylothorax is an unusual complication of cirrhosis that is difficult to manage and is associated with a poor prognosis. A systematic approach based on our limited understanding of this problem could prove beneficial to patients with this condition. The lipoprotein profile of chylous and nonchylous pleural effusions. Cirrhosis of liver with massive hydrothorax.
Lymph flow from liver and thoracic duct.
Observations on the origin of ascites from experimental hepatic congestion. Evaluation and management of chylous ascites. Flow rate and composition of thoracic duct lymph in patients with cirrhosis. Chylothorax causing reversible T-cell depletion. Transjugular intrahepatic portal systemic shunt for the management of symptomatic cirrhotic hydrothorax.