{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:43:43Z","timestamp":1741067023119,"version":"3.38.0"},"reference-count":6,"publisher":"SMC Media","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Chylothorax is an abnormal accumulation of lymphatic fluid in the pleural cavity, and it develops because of chyle leaking from the thoracic duct. The clinical presentation can be varied, while symptoms depend on its size and the rate of accumulation in the pleural space. Diagnosis is based on pleural fluid analysis, supported by various imaging studies to help determine the underlying pathology and locate the site of chyle leak. Case report:\u00a0We report an extremely rare case of non-iatrogenic right-sided chylothorax in the absence of radiographically demonstrated bony damage which was related to vertebral osteophytosis in a 90-year-old man, who presented with worsening shortness of breath after a blunt trauma. On physical examination, the patient was found to be suffering from substantial right-sided pleural effusion with no radiographic evidence of traumatic injury. Conclusion:\u00a0Imaging demonstrated diffused osteophytosis at the level of the lower thoracic vertebrae, which were puncturing the thoracic duct. We adopted conservative treatment, including thoracentesis and total parenteral nutrition, which resulted in the improvement and resolution of symptoms.<\/jats:p>","DOI":"10.12890\/2025_004929","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T11:40:07Z","timestamp":1739965207000},"source":"Crossref","is-referenced-by-count":0,"title":["A rare case of right-sided chylothorax induced by vertebral osteophytosis in a nonagenarian patient"],"prefix":"10.12890","author":[{"given":"Umberto Giuseppe","family":"Galasso","sequence":"first","affiliation":[{"name":"Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Geriatric Unit, Sapienza University of Rome, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Del Giudice","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Geriatric Unit, San Giovanni-Addolorata Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Ialongo","sequence":"first","affiliation":[{"name":"Department of Radiology and Imaging, San Giovanni-Addolorata Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo Luca","family":"Fimognari","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Geriatric Unit, Annunziata Hospital, Cosenza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovambattista","family":"Desideri","sequence":"first","affiliation":[{"name":"Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Geriatric Unit, Sapienza University of Rome, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evaristo","family":"Ettorre","sequence":"first","affiliation":[{"name":"Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Geriatric Unit, Sapienza University of Rome, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Palleschi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Geriatric Unit, San Giovanni-Addolorata Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"10.12890\/2025_004929_ref1","doi-asserted-by":"crossref","unstructured":"<li>Ur Rehman K, Sivakumar P. Non-traumatic chylothorax: diagnostic and therapeutic strategies. <em>Breathe (Sheff)<\/em> 2022;<strong>18<\/strong>:210163. <\/li>","DOI":"10.1183\/20734735.0163-2021"},{"key":"10.12890\/2025_004929_ref2","doi-asserted-by":"crossref","unstructured":"<li>Bhatnagar M, Fisher A, Ramsaroop S, Carter A, Pippard B. Chylothorax: pathophysiology, diagnosis, and management-a comprehensive review. <em>J Thorac Dis<\/em> 2024;<strong>16<\/strong>:1645-1661.<\/li>","DOI":"10.21037\/jtd-23-1636"},{"key":"10.12890\/2025_004929_ref3","doi-asserted-by":"crossref","unstructured":"<li>Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. <em>Respir Med<\/em> 2019;<strong>157<\/strong>:7-13. <\/li>","DOI":"10.1016\/j.rmed.2019.08.014"},{"key":"10.12890\/2025_004929_ref4","doi-asserted-by":"crossref","unstructured":"<li>Mohamed M, Alshenawy W, Kegarise C, Betten D. Bilateral Chylothorax Due to Blunt Trauma Without Radiographic Evidence of Traumatic Injury. <em>Clin Pract Cases Emerg Med<\/em> 2017;<strong>1<\/strong>:111-114. <\/li>","DOI":"10.5811\/cpcem.2016.12.32937"},{"key":"10.12890\/2025_004929_ref5","doi-asserted-by":"crossref","unstructured":"<li>Apostolakis E, Akinosoglou K, Koletsis E, Dougenis D. Traumatic chylothorax following blunt thoracic trauma: two conservatively treated cases. <em>J Card Surg<\/em> 2009;<strong>24<\/strong>:220-222.<\/li>","DOI":"10.1111\/j.1540-8191.2009.00828.x"},{"key":"10.12890\/2025_004929_ref6","doi-asserted-by":"crossref","unstructured":"<li>Horiuchi K, Asakura T, Sakaguchi S, Saito F. Bilateral chylothorax associated with osteophytes in an elderly patient. <em>BMJ Case Rep<\/em> 2019;<strong>12<\/strong>:e229473.<\/li>","DOI":"10.1136\/bcr-2019-229473"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4929\/4505","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4929\/4506","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4929\/4506","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T14:56:08Z","timestamp":1741013768000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/4929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,19]]},"references-count":6,"URL":"https:\/\/doi.org\/10.12890\/2025_004929","relation":{"has-manifestation":[{"id-type":"other","id":"1-123-4929-g4505","asserted-by":"subject"},{"id-type":"other","id":"1-123-4929-g4506","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-123","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2025,2,19]]}}}