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Case reports

Persistent chylothorax in lymphangioleiomyomatosis treated by intrapleural instillation of povidone

Department of Cardiologic, Thoracic and Vascular Sciences, Division of Thoracic Surgery, University of Padova, Via Giustiniani, 2, 35128 Padova, Italy

Received 6 February 2008; received in revised form 25 March 2008; accepted 31 March 2008.

^_* Corresponding author. Tel.: +39 0498212237; fax: +39 0498212249. (Email: federico.rea{at}unipd.it).

Lymphangioleiomyomatosis (LAM) is a rare, idiopathic disease affecting young women often complicated by refractory and difficult to manage chylothorax. We report one case of a patient who received a bilateral lung transplantation for LAM presenting a refractory chylothorax. The instillation of povidone iodine in the pleural space was effective in inducing pleurodesis.

Key Words: Lymphangioleiomyomatosis • Chylothorax • Lung transplantation • Pleurodesis