CHYLOTHORAX - AN UPDATE

Chylothorax is occasionally found in malignant disease and following s ympathectomy, but is seen more frequently after cardiothoracic surgery . The varied anatomy of the thoracic duct, limited individual experien ce and a lack of appreciation of the factors indicating surgical inter vention have led to controversy regarding its optimal management. This article reviews historical aspects, clinical features and guidelines for conservative and surgical management.