Chylothorax is a rare form of pleural effusion it can be associated with dorsal spine injury and sub luxation of dorsal spine. We present a rare case of a thoracic duct injury secondary to a blunt thoracic spine fracture and subluaxation: A28 year old boy sustained spinal injury at D8-D9 level presented with paraplegia with chest injury, haemothorax. I.C.D was done to manage the haemothorax. Following Enteral feeding on third day he developed milky white drainage from I.C.D, differential diagnosis was empyema .Pleural fluid analysis  revealed high level of triglyceride and low level of cholestral ,suggestive of chylothrax. Which was treated conservatively.

Keywords: Dorsal Spine Injury, Thoracic Duct Injury, Chylothorax, Pleural Fluid Analysis.

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Sanjay Sharma

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