Dyspnea after a greasy meal


Submitted: 6 March 2011
Accepted: 6 May 2011
Published: 1 June 2011
Abstract Views: 1481
PDF: 1302
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Authors

  • Patricia Ines Garrido Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal.
  • Dalila Ferreira Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal.
  • Antonio Bugalho Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal.
  • Gonçalo Salvado Pulmonology Department, Amato Lusitano Hospital, Castelo Branco, Portugal.
  • Luis Carreiro Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal, Portugal.

A 72-year-old solid man presented with dyspnea and dysphagia following meals high in saturated fat. The investigation revealed that a mediastinal mass was responsible for the compression of the trachea and main carina. Fine needle aspiration guided by endobronchial ultrasound revealed a milky fluid with a high concentration of triglycerides and chylomicra. It was determined that a thoracic duct cyst was present. Due to the patient's refusal of more invasive therapeutic procedures, clinical stability was attained through conservative treatment.


Patricia Ines Garrido, Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte
Serviço de Pneumologia II - CHLN
Dalila Ferreira, Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte
Serviço de Pneumologia II - CHLN
Antonio Bugalho, Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte
Serviço de Pneumologia II - CHLN
Gonçalo Salvado, Pulmonology Department, Amato Lusitano Hospital, Castelo Branco
Serviço de Pneumologia
Luis Carreiro, Interventional Pulmonology Unit, Pulmonology Department II, Pulido Valente. Hospital, Centro-Hospitalar Lisboa Norte, Portugal
Serviço de Pneumologia II - CHLN

Supporting Agencies

none

Garrido, P. I., Ferreira, D., Bugalho, A., Salvado, G., & Carreiro, L. (2011). Dyspnea after a greasy meal. Chest Disease Reports, 4(1), e5. https://doi.org/10.4081/cdr.4.30

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