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Journal of Bone and Joint Surgery - British Volume, Vol 58-B, Issue 3, 347-349
Copyright © 1976 by British Editorial Society of Bone and Joint Surgery

Articles

Massive osteolysis complicated by chylothorax successfully treated by pleurodesis

JH Patrick

A rare complication of massive osteolysis (disappearing bones, Gorham's disease)is presented--namely involvement and invasion of the thoracic duct by the angiomatous tissue spreading locally from involved upper thoracic vertebrae. The resultant chylothorax in our patient was investigated and the site of the lymphatic fistula established by lymphography. Operative obliteration of the chylous leak was successfully achieved and the patient has survived. A review of the literature shows this complication to have been fatal in six other cases, including Gorham's first patient.


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Home page
 Clin Med ResHome page
D. V. Patel
Gorham's Disease or Massive Osteolysis
Clin. Med. Res., May 1, 2005; 3(2): 65 - 74.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General