{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:34:32Z","timestamp":1759332872182,"version":"build-2065373602"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A young male with Gorham-Stout syndrome (GSS), a rare lymphovascular disorder causing bone loss, presented with cough, difficulty breathing, and chylous pleural effusion infected with Staphylococcus aureus. Despite thoracic duct ligation, his chylothorax recurred. Imaging showed bone lesions in the sternum and ribs, along with thickened pleura. Electromyography revealed mild bilateral phrenic nerve motor conduction abnormalities. A year later, he developed a symptomatic left diaphragmatic hernia with partial bowel obstruction that required surgical repair. This case highlights the need for early diaphragm monitoring in GSS patients with chylothorax to prevent serious complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf772","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T15:29:06Z","timestamp":1759246146000},"source":"Crossref","is-referenced-by-count":0,"title":["Chylothorax-induced diaphragmatic herniation: a novel complication of Gorham-Stout syndrome"],"prefix":"10.1093","volume":"2025","author":[{"given":"Quan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangzhou Medical University , No. 151 Yanjiang West Road, Yuexiu District, Guangzhou 51000 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuiyan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangzhou Medical University , No. 151 Yanjiang West Road, Yuexiu District, Guangzhou 51000 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangzhou Medical University , No. 151 Yanjiang West Road, Yuexiu District, Guangzhou 51000 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuanfeng","family":"Ke","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangzhou Medical University , No. 151 Yanjiang West Road, Yuexiu District, Guangzhou 51000 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"2025093011290099200_ref1","doi-asserted-by":"publisher","first-page":"e135","DOI":"10.1097\/RHU.0000000000001009","article-title":"Gorham-Stout syndrome: a phantom bone disease treated with bisphosphonates","volume":"26","author":"Elera-Fitzcarrald","year":"2020","journal-title":"J Clin Rheumatol"},{"key":"2025093011290099200_ref2","doi-asserted-by":"publisher","first-page":"S21","DOI":"10.1016\/j.jaad.2006.01.063","article-title":"Cutaneous lymphatic malformations in disappearing bone (Gorham-Stout) disease: a novel clue to the pathogenesis of a rare syndrome","volume":"56","author":"Bruch-Gerharz","year":"2007","journal-title":"J Am Acad Dermatol"},{"key":"2025093011290099200_ref3","doi-asserted-by":"publisher","first-page":"985","DOI":"10.2106\/00004623-195537050-00008","article-title":"Massive osteolysis (acute spontaneous absorption of bone, phantom bone, disappearing bone); its relation to hemangiomatosis","volume":"37","author":"Gorham","year":"1955","journal-title":"J Bone Joint Surg Am"},{"key":"2025093011290099200_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57070681","article-title":"Gorham-Stout disease with multiple bone involvement-challenging diagnosis of a rare disease and literature review","volume":"57","author":"Momanu","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"2025093011290099200_ref5","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1136\/thoraxjnl-2017-210872","article-title":"Lung function response and side effects to rapamycin for lymphangioleiomyomatosis: a prospective national cohort study","volume":"73","author":"Bee","year":"2018","journal-title":"Thorax"},{"key":"2025093011290099200_ref6","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/0030-4220(83)90185-8","article-title":"Perspectives on massive osteolysis. 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