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Correspondence
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Volume 354:879 February 23, 2006 Number 8
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Chylothorax and Chyloperitoneum

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 by Ly, T. Y.
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To the Editor: We are writing in regard to Ly and Fowler's contribution to Images in Clinical Medicine (Aug. 11 issue)1 and suggest that it is more likely that the chylous effusions (massive ascites and right pleural effusion) resulted from injury to the cisterna chyli (located at the level of the second lumbar vertebra between the inferior vena cava and the abdominal aorta) or one of its mesenteric tributaries within the abdominal cavity, rather than from injury to the thoracic duct above the diaphragm. This is a well-recognized complication of repair of an abdominal aortic aneurysm.2 A better delineation of . . . [Full Text of this Article]


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