{"id":"https://openalex.org/W7225310541","doi":"https://doi.org/10.7759/cureus.119153","title":"Delayed High-Output Chylothorax Following Thymectomy for Thymoma","display_name":"Delayed High-Output Chylothorax Following Thymectomy for Thymoma","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225310541","doi":"https://doi.org/10.7759/cureus.119153","pmid":"https://pubmed.ncbi.nlm.nih.gov/42999910","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13744392"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.119153","doi":"https://doi.org/10.7759/cureus.119153","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119153","pdf_url":"https://www.cureus.com/articles/545039-delayed-high-output-chylothorax-following-thymectomy-for-thymoma.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/545039-delayed-high-output-chylothorax-following-thymectomy-for-thymoma.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061829826","display_name":"Mourad Nafaa","orcid":"https://orcid.org/0009-0003-4179-6922","observed_orcids":["https://orcid.org/0009-0003-4179-6922"]},"institutions":[{"id":"https://openalex.org/I4210119819","display_name":"Universit\u00e9 Mohammed VI des Sciences et de la Sant\u00e9","ror":"https://ror.org/01tezat55","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210119819"]},{"id":"https://openalex.org/I4210145847","display_name":"H\u00f4pital Universitaire International Cheikh Khalifa","ror":"https://ror.org/03g26ah87","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210145847"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Mourad Nafaa","raw_affiliation_strings":["Emergency Medicine, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR","institution_ids":["https://openalex.org/I4210119819","https://openalex.org/I4210145847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160745731","display_name":"Radia Bencherki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145847","display_name":"H\u00f4pital Universitaire International Cheikh Khalifa","ror":"https://ror.org/03g26ah87","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210145847"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Radia Bencherki","raw_affiliation_strings":["Clinical Pharmacy, Cheikh Khalifa International University Hospital, Casablanca, MAR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Pharmacy, Cheikh Khalifa International University Hospital, Casablanca, MAR","institution_ids":["https://openalex.org/I4210145847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015011451","display_name":"Jihane Ziati","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119819","display_name":"Universit\u00e9 Mohammed VI des Sciences et de la Sant\u00e9","ror":"https://ror.org/01tezat55","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210119819"]},{"id":"https://openalex.org/I4210145847","display_name":"H\u00f4pital Universitaire International Cheikh Khalifa","ror":"https://ror.org/03g26ah87","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210145847"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Jihane Ziati","raw_affiliation_strings":["Anesthesia and Critical Care, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Anesthesia and Critical Care, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR","institution_ids":["https://openalex.org/I4210119819","https://openalex.org/I4210145847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039615881","display_name":"Mustapha Noussair","orcid":"https://orcid.org/0009-0009-3291-4847","observed_orcids":["https://orcid.org/0009-0009-3291-4847"]},"institutions":[{"id":"https://openalex.org/I4210119819","display_name":"Universit\u00e9 Mohammed VI des Sciences et de la Sant\u00e9","ror":"https://ror.org/01tezat55","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210119819"]},{"id":"https://openalex.org/I4210145847","display_name":"H\u00f4pital Universitaire International Cheikh Khalifa","ror":"https://ror.org/03g26ah87","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210145847"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Mustapha Noussair","raw_affiliation_strings":["Emergency Medicine, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, Cheikh Khalifa International University Hospital/Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, MAR","institution_ids":["https://openalex.org/I4210119819","https://openalex.org/I4210145847"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160793256","display_name":"Belyamani Lahcen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Belyamani Lahcen","raw_affiliation_strings":["Anesthesiology and Intensive Care Medicine, Mohammed V Military Hospital, Rabat, MAR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Anesthesiology and Intensive Care Medicine, Mohammed V Military Hospital, Rabat, MAR","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87856818,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"11","first_page":"e119153","last_page":"e119153"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12426","display_name":"Lymphatic Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12426","display_name":"Lymphatic Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11356","display_name":"Pleural and Pulmonary Diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13430","display_name":"Lipid metabolism and disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chylothorax","display_name":"chylothorax","score":0.9829999804496765},{"id":"https://openalex.org/keywords/thymectomy","display_name":"thymectomy","score":0.8199999928474426},{"id":"https://openalex.org/keywords/thymoma","display_name":"thymoma","score":0.9869999885559082},{"id":"https://openalex.org/keywords/video-assisted-thoracoscopic-surgery","display_name":"video-assisted thoracoscopic surgery","score":0.8980000019073486},{"id":"https://openalex.org/keywords/thoracic-duct-injury","display_name":"thoracic duct injury","score":0.7730000019073486},{"id":"https://openalex.org/keywords/myasthenia-gravis","display_name":"myasthenia gravis","score":0.9520000219345093},{"id":"https://openalex.org/keywords/octreotide","display_name":"octreotide","score":0.8019999861717224},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.6769999861717224},{"id":"https://openalex.org/keywords/pleural-drainage","display_name":"pleural drainage","score":0.781000018119812},{"id":"https://openalex.org/keywords/delayed-postoperative-complication","display_name":"delayed postoperative complication","score":0.7919999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9945999979972839},{"id":"https://openalex.org/C2779159893","wikidata":"https://www.wikidata.org/wiki/Q1429863","display_name":"Thymoma","level":2,"score":0.8769999742507935},{"id":"https://openalex.org/C2778373633","wikidata":"https://www.wikidata.org/wiki/Q1090224","display_name":"Chylothorax","level":2,"score":0.7888000011444092},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7013999819755554},{"id":"https://openalex.org/C2779615886","wikidata":"https://www.wikidata.org/wiki/Q3090790","display_name":"Thymectomy","level":3,"score":0.6862000226974487},{"id":"https://openalex.org/C2778105408","wikidata":"https://www.wikidata.org/wiki/Q8285","display_name":"Myasthenia gravis","level":2,"score":0.3605000078678131},{"id":"https://openalex.org/C2910722220","wikidata":"https://www.wikidata.org/wiki/Q1429863","display_name":"Thymus Neoplasm","level":3,"score":0.3391999900341034},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.29660001397132874},{"id":"https://openalex.org/C2779056968","wikidata":"https://www.wikidata.org/wiki/Q1544032","display_name":"Thoracoscopy","level":2,"score":0.25130000710487366},{"id":"https://openalex.org/C2777593132","wikidata":"https://www.wikidata.org/wiki/Q1263629","display_name":"Thoracic duct","level":3,"score":0.2492000013589859}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.7759/cureus.119153","doi":"https://doi.org/10.7759/cureus.119153","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119153","pdf_url":"https://www.cureus.com/articles/545039-delayed-high-output-chylothorax-following-thymectomy-for-thymoma.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:42999910","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42999910","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.119153","doi":"https://doi.org/10.7759/cureus.119153","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119153","pdf_url":"https://www.cureus.com/articles/545039-delayed-high-output-chylothorax-following-thymectomy-for-thymoma.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225310541.pdf","grobid_xml":"https://content.openalex.org/works/W7225310541.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W1977250593","https://openalex.org/W2083719902","https://openalex.org/W2292693546","https://openalex.org/W2888449227","https://openalex.org/W4293152060","https://openalex.org/W4315433344","https://openalex.org/W4392106265","https://openalex.org/W4408246373","https://openalex.org/W7133483692"],"related_works":["https://openalex.org/W2400197503","https://openalex.org/W2400979925","https://openalex.org/W2413430214","https://openalex.org/W2411301335","https://openalex.org/W4231484711","https://openalex.org/W2523584387","https://openalex.org/W2414031724","https://openalex.org/W4367606689","https://openalex.org/W4290867834","https://openalex.org/W2387603600"],"abstract_inverted_index":{"Chylothorax":[0],"is":[1],"an":[2,94,162],"uncommon":[3],"complication":[4],"following":[5,38],"thymectomy":[6,43],"and":[7,63,141,166,176,207],"results":[8],"from":[9],"disruption":[10],"of":[11,24,88,114,123,220],"the":[12,22,56,82,103,121,177,218],"thoracic":[13],"duct":[14],"or":[15,186],"its":[16],"tributaries":[17],"during":[18],"surgery.":[19],"We":[20],"report":[21],"case":[23,196],"a":[25,34,45,70,111,137,145,213],"50-year-old":[26],"man":[27],"with":[28,59,75,117],"autoimmune":[29],"myasthenia":[30],"gravis":[31],"who":[32],"developed":[33],"delayed":[35],"postoperative":[36,53],"chylothorax":[37,200],"video-assisted":[39],"thoracoscopic":[40],"surgery":[41,206],"(VATS)":[42],"for":[44],"type":[46],"B2":[47],"thymoma,":[48],"Masaoka":[49],"stage":[50],"I.":[51],"On":[52],"day":[54],"21,":[55],"patient":[57,190],"presented":[58],"acute":[60],"respiratory":[61],"distress":[62],"severe":[64],"hypoxemia.":[65],"Chest":[66],"computed":[67],"tomography":[68],"revealed":[69,110],"large":[71],"left-sided":[72],"pleural":[73,90,135,223],"effusion":[74],"extensive":[76],"passive":[77],"lung":[78],"collapse.":[79],"Thoracentesis":[80],"in":[81,102,217],"emergency":[83],"department":[84],"evacuated":[85],"1.5":[86],"L":[87,97],"milky":[89],"fluid,":[91],"followed":[92,152],"by":[93,153],"additional":[95,184],"4":[96],"after":[98,172,205],"chest":[99,178],"tube":[100,179],"drainage":[101,160],"intensive":[104],"care":[105],"unit.":[106],"Pleural":[107,159],"fluid":[108,126],"analysis":[109],"triglyceride":[112],"concentration":[113],"188":[115],"mg/dL,":[116],"chylomicrons":[118],"detected,":[119],"confirming":[120],"diagnosis":[122],"chylothorax.":[124],"The":[125,189],"also":[127],"showed":[128,161],"marked":[129],"lymphocytic":[130],"predominance":[131],"(96%).":[132],"Management":[133],"included":[134],"drainage,":[136],"strict":[138],"fat-free":[139],"diet,":[140],"octreotide,":[142],"administered":[143],"as":[144],"100":[146],"\u00b5g":[147],"slow":[148],"intravenous":[149],"loading":[150],"dose":[151],"continuous":[154],"infusion":[155],"at":[156],"50":[157],"\u00b5g/h.":[158],"overall":[163],"decreasing":[164],"trend":[165],"eventually":[167],"ceased.":[168],"Octreotide":[169],"was":[170,180,191],"discontinued":[171],"13":[173],"calendar":[174],"days,":[175],"removed":[181],"without":[182],"requiring":[183],"invasive":[185],"surgical":[187],"intervention.":[188],"subsequently":[192],"discharged":[193],"home.":[194],"This":[195],"illustrates":[197],"that":[198,208],"post-thymectomy":[199],"may":[201,211],"present":[202],"several":[203],"weeks":[204],"conservative":[209],"management":[210],"achieve":[212],"favorable":[214],"outcome":[215],"even":[216],"setting":[219],"substantial":[221],"initial":[222],"drainage.":[224]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}
