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February 1952


Author Affiliations

Dr. Hoffman is Resident in Surgery, Dr. Ivins a former resident and Dr. Kern is Chief of Surgery, Sinai Hospital of Baltimore, Inc.

AMA Arch Surg. 1952;64(2):253-268. doi:10.1001/archsurg.1952.01260010265017

CHYLOTHORAX may be defined as the accumulation of chyle in the pleural cavity. According to Zesas,1 traumatic chylothorax was first described by Longelot in 1663, but it was not until 1875 that Quincke2 reported the first authoritative case. The rarity of this condition is brought out by the fact that there are very few cases in the literature. In 1938, Shackelford and Fisher3 reviewed the literature, discarded 11 cases mentioned too scantily to be included, summarized the remaining 39, and added two cases of their own. In 1947, Lampson4 reviewed and summarized 17 subsequent reports and added one of his own. We have found seven other cases not included in these two reviews and are adding one case of our own. (There is one case mentioned by Shackelford and Fisher3—Heppner's5—which is the same case cited by Lampson4 as Brown's6