Chylothorax after endoscopic sympathectomy: Case report

Wan Chun Cheng*, Chen Nen Chang, Tzu Kang Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

12 Scopus citations


ENDOSCOPIC SYMPATHECTOMY IS a new trend for the treatment of hyperhidrosis palmaris. It is a simple and effective technique; however, it carries some recognized risks such as Horner's syndrome and pneumohemothorax. We recently encountered a case complicated by the development of a chylothorax. The patient was a 23-year-old healthy woman with profuse palmar sweating. She developed an intractable dry cough after a transthoracic endoscopic sympathectomy. A chest x-ray revealed a left pleural effusion. A chylous effusion was found after thoracentesis and fluid analysis. The pleural effusion resolved after chest tube drainage and diet control. Although endoscopic sympathectomy is a simple and quick procedure, unusual complications, such as chylothorax, may occur. Appropriate early recognition and treatment can prevent a disastrous result.

Original languageEnglish
Pages (from-to)330-332
Number of pages3
Issue number2
StatePublished - 08 1994
Externally publishedYes


  • Chylothorax
  • Hyperhidrosis palmaris
  • Sympathectomy
  • Tube thoracotomy


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