<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462019000200139</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quilotórax traumático y su resolución quirúrgica, una entidad poco frecuente. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Traumatic chylothorax and its surgical resolution, a rare entity. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Minero]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arciniega-Belmont]]></surname>
<given-names><![CDATA[Steve]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza-Félix]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-García]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Huerta]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Villalobos,]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trueba-Lozano]]></surname>
<given-names><![CDATA[Demian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Trauma de la Cruz Roja Mexicana  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>78</volume>
<numero>2</numero>
<fpage>139</fpage>
<lpage>142</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462019000200139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462019000200139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462019000200139&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El quilotórax se define como la acumulación de quilo en la cavidad pleural. La etiología traumática no iatrogénica ocurre en 0.2 a 3% de todos los casos. Presentamos el caso de un hombre de 18 años de edad que ingresó con historial de agresión por terceras personas con instrumento punzocortante, la cual motivó toracotomía anterolateral derecha inicial para hemostasia de lesión pulmonar y rafia de lesión diafragmática en el seno posterior paravertebral derecho. En el posoperatorio se documentó gasto elevado a través de sonda endopleural compatible con quilotórax, que se corroboró mediante citoquímico con triglicéridos de 243 mg/dl. Se intentó manejo conservador con ayuno y nutrición parenteral; sin embargo, al quinto día con estas medidas persistió con gasto superior a 1,000 cm3 e imagen radiográfica con cavidad y acumulación de líquido; por lo tanto, se llevó a cabo manejo quirúrgico con pleurodesis. El paciente tuvo adecuada evolución. Cinco días después inició, dieta sin datos de nuevo quilotórax y se efectuó retiro de drenaje pleural y egresó al séptimo día.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Chylothorax is defined as the accumulation of chyle in the pleural cavity. The non-iatrogenic traumatic etiology occurs in 0.2 to 3% of all cases. We introduce the case of an 18-year-old male who was admitted with history of aggression with a sharp-pointed instrument, which resulted in initial right anterolateral thoracotomy with pulmonary injury hemostasis and right posterior paravertebral diaphragmatic sinus rhaphy. During the PO period, the chest-tube developed high output of chyle-like fluid. The diagnosis was corroborated with cytochemical study demonstrating triglycerides 243 mg/dl. Conservative management was attempted with fasting and parenteral nutrition, but the output remained on 1,000 cm3 on the fifth post operatory day with imaging showing cavity and fluid accumulation despite these measures. Surgical management with pleurodesis was performed. The patient had an adequate evolution; on the five post operatory day the patient started oral nutrition without new chylothorax evidence, the chest-drainage was removed and the patient discharged on seven day.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quilotórax]]></kwd>
<kwd lng="es"><![CDATA[trauma torácico]]></kwd>
<kwd lng="es"><![CDATA[trauma penetrante]]></kwd>
<kwd lng="en"><![CDATA[Chylothorax]]></kwd>
<kwd lng="en"><![CDATA[thoracic trauma]]></kwd>
<kwd lng="en"><![CDATA[penetrating trauma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macfarlane]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Holman]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chylothorax]]></article-title>
<source><![CDATA[Am Rev Respir Dis]]></source>
<year>1972</year>
<volume>105</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>287-91</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hillerdal]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chylothorax and pseudochylothorax]]></article-title>
<source><![CDATA[Eur Respir J]]></source>
<year>1997</year>
<volume>10</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1157-62</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrillo-Esper]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sosa-García]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo-Cordova]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quilotórax secundario a herida por proyectil de arma de fuego]]></article-title>
<source><![CDATA[Cir Ciruj]]></source>
<year>2009</year>
<volume>77</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>479-82</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baldridge]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatic chylothorax: A review of the literature and report of a case treated by ligation of the thoracic duct and cisterna chyli]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1948</year>
<volume>128</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1056-78</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ikonomidis]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Boulanger]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
<name>
<surname><![CDATA[Brenneman]]></surname>
<given-names><![CDATA[FD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chylothorax after blunt chest trauma: a report of 2 cases]]></article-title>
<source><![CDATA[Can J Surg]]></source>
<year>1997</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>135-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Espadas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Iribarren-Sarrías]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Jiménez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Rico]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lacruz-Cañas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Quesada-Suescun]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quilotórax secundario a traumatismo torácico cerrado. A propósito de 6 casos]]></article-title>
<source><![CDATA[Arch Bronconeumol]]></source>
<year>1997</year>
<volume>33</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>168-71</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buettiker]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Hug]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Burger]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Baenziger]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Somatostatin: a new therapeutic option for the treatment of chylothorax]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>2001</year>
<volume>27</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1083-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McGrath]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Blades]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chylothorax: aetiology, diagnosis and therapeutic options]]></article-title>
<source><![CDATA[Respir Med]]></source>
<year>2010</year>
<volume>104</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sendama]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Shipley]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatic chylothorax: A case report and review]]></article-title>
<source><![CDATA[Respir Med Case Rep]]></source>
<year>2015</year>
<volume>14</volume>
<page-range>47-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-Díaz]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Torre-Bouscoulet]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés-Télles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quilotórax en pacientes con derrame pleural en el Instituto Nacional de Enfermedades Respiratorias, 2011-2012]]></article-title>
<source><![CDATA[Neumol Cir Torax]]></source>
<year>2013</year>
<volume>72</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>207-11</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pillay]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of traumatic chylothorax]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2016</year>
<volume>47</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>545-50</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cortés-Télles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas-Serrano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Torre-Bouscoulet]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quilotórax: frecuencia, causas y desenlaces]]></article-title>
<source><![CDATA[Neumol Cir Torax]]></source>
<year>2010</year>
<volume>69</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>157-62</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
