Spontaneous chyloptoe due to lymphangiectasis of the pulmonary lymph vessels

Chylopulmo is a term introduced by Dobbertin and Hulzy for this relatively rarely observed phenomenon. It is characterized by a chylons infiltration of the lungs, not primarily forming part of a chylothorax, but possibly inducing it. For correct diagnosis, lymphography is to be completed by CT scanning, as this technique detects uptake of contrast medium by the lymphocysts. Ligature of the ductus thoracicus seems to be the therapy of choice. If surgery is not possible, a largely fat-free diet may reduce the complaints. (orig./GDG)