We present a 17-year-old Caucasian male with congenital pulmonary lymphangi
ectasia and an absent thoracic duct. This patient is unique as he did not p
resent with the disorder until age 9.5 years. Since his initial presentatio
n he has had recurrent chylothoraces and has been treated symptomatically.
We discuss the possible implications of his disorder as well as some of the
limited treatment that is available. (C) 2001 Wiley-Liss, Inc.