TRAUMATIC RUPTURE OF THE THORACIC DUCT WITH BILATERAL CHYLOTHORAX AND CHYLOUS ASCITES

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Abstract
The case1 on which the following study is based appears to be the first instance of chylothorax (bilateral) with associated chylous ascites of traumatic origin to be reported in the literature, although there are on record up to June 1935 forty-six instances of chylothorax of traumatic origin (Lillie and Fox2). REPORT OF CASE History. —The patient was first seen by me in consultation on Sept. 10, 1933, four months after the onset of the present illness, at which time the essential facts were ascertained. On May 14, while she was riding in an automobile, a collision occurred and the patient sustained various injuries, the main one being a transverse fracture of the middle third of the left humerus. The bone was set, local anesthesia being used, but it did not retain its position. On June 1 the patient was given a general anesthetic, and the fracture was fastened

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