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WALTER J. BURDETTE, Ph.D., M.D.

AMA Arch Surg. 1959;78(6):815-831.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The extravasation of chyle into thoracic and abdominal cavities has been recognized as a clinical problem since the 17th century. Shortly after publication of the clinical studies of Asellius,⁴ reports of traumatic chylothorax were mentioned by Bartolet¹⁰⁹ in 1633, by Longelot⁶ in 1663, and by de Diemerbroeck⁴⁴ in 1685, and a detailed description of the condition was given by Quincke¹³² in 1875. In 1691 Morton^7,93 described chylous ascites in a boy of 2 years, who eventually died following withdrawal of fluid from the abdominal cavity. Following clinical observations on obstruction of the thoracic duct, Sir Astley Cooper³¹ performed experiments on the effects of ligation and reported his findings in 1798.

A number of reviews with collected cases have appeared. Busey²⁴ recorded 53 cases of chylous ascites and reported them in 1889. Wallis and Schölberg¹⁶³ collected 173 cases of "milky ascites," 3 . . . [Full Text PDF of this Article]

Author Affiliations
Salt Lake City

Department of Surgery, University of Utah College of Medicine.

Footnotes
Read at the 66th Annual Meeting of the Western Surgical Association, Rochester, Minn., Nov. 21, 1958.

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