Chylothorax is an uncommon condition that may be associated with signi
ficant morbidity and mortality, The authors report a case of traumatic
chylothorax attributed to child abuse and describe our management wit
h tube thoracostomy and nutritional support with medium-chain triglyce
rides, Child abuse should be suspected in any case oi chylothorax when
no other etiology is evident and particularly when other signs of abu
se are present. Copyright (C) 1996 by W.B. Saunders Company