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Duropleural Fistula Manifested as a Large Pleural Transudate : An Unusual Complication of Transthoracic Diskectomy FREE TO VIEW

Jaber Monla-Hassan; Michael Eichenhorn; Eric Spickler; Sanjay Talati; Russ Nockels; Robert Hyzy
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Affiliations: From the Departments of Medicine, Radiology, and Surgery, Henry Ford Hospital, Detroit, MI.,  From the Division of Neuroradiology, Henry Ford Hospital, Detroit, MI.,  From the Division of Pulmonary and Critical Care Medicine, and the Department of Neurosurgery, Henry Ford Hospital, Detroit, MI.

Robert Hyzy, MD, Pulmonary Division, K17, Henry Ford Hospital, Detroit, MI 48202

1998 by the American College of Chest Physicians

Chest. 1998;114(6):1786-1789. doi:10.1378/chest.114.6.1786
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A 52-year-old patient presented with large symptomatic transudative pleural effusion 4 months following T8 to T9 transthoracic diskectomy. Anterior approach diskectomy has replaced the traditional laminectomy for treating symptomatic centrally herniated and calcified thoracic disks. We describe in this report the first case of a large cerebrospinal fluid collection in the pleural cavity caused by persistent postoperative duropleural fistula. The possibility of a duropleural fistula should be entertained in patients who present with a pleural effusion following transthoracic diskectomy.




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