Tuberculosis of the thyroid

✍ Scribed by A. E. Carter

• Publisher: John Wiley and Sons
• Year: 1958
• Tongue: English
• Weight: 409 KB
• Volume: 46
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004619620

✦ Synopsis

Post-operative radiographs showed no significant quantity of intra-abdominal fluid.

Following this, gain in weight was satisfactory, but a low-fat diet was required to avoid diarrhoea and vomiting.

Laboratory examination of the ascitic fluid showed: Specific gravity, 1.015; fat, 0.6 g./Iw ml.; protein, 3.2 g./Iw ml.; chloride, 0.63 g./Iw ml. (as NaCl); sugar, 72 mg./Ioo ml.; cholesterol, 105 mg./Iw ml.

DISCUSSION AND CONCLUSIONS

We do not consider that the presence of chyle in the peritoneal cavity can specifically be recognized radiologically in the infant. The criteria put forward by Wyatt and Gross (1941) were not demonstrable in this case, nor were they seen in the cases reported by Chi-Hao Lee and Young (1953). It should be noted that the definitive liver shadow described by Wyatt and Gross was seen by them after operative intervention.

In cases where frequent tapping of large quantities of chyle leads to deterioration in health, laparotorny appears to be indicated. Even if no lesion is discovered in the peritoneal cavity which can be dealt with, veno-peritoneal anastomosis offers an alternative method of treatment.