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Dyspnea after a greasy meal

Patricia Ines Garrido, Dalila Ferreira, Antonio Bugalho, Gonçalo Salvado, Luis Carreiro
  • Patricia Ines Garrido
    Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal | patinesgarrido@hotmail.com
  • Dalila Ferreira
    Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal
  • Antonio Bugalho
    Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal
  • Gonçalo Salvado
    Pulmonology Department, Amato Lusitano Hospital, Castelo Branco, Portugal
  • Luis Carreiro
    Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal, Portugal

Abstract

A healthy 72-year-old man presented with dyspnea and dysphagia after saturated fat meals. The investigation showed a mediastinal mass causing compression of the trachea and main carina. Endobronchial ultrasound guided fine needle-aspiration revealed a milky fluid with an high concentration of triglycerides and chylomicra. The diagnosis of a thoracic duct cyst was made. Clinical stability was achieved through a conservative treatment since the patient refused other invasive therapeutic procedures.

Keywords

thoracic duct cyst, endobronchial ultrasound.

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Submitted: 2011-03-06 15:59:32
Published: 2011-06-01 13:55:47
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Copyright (c) 2011 Patricia Ines Garrido, Dalila Ferreira, Antonio Bugalho, Gonçalo Salvado, Luis Carreiro

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