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General Medicine General abb82b7d

Two weeks following the initial management of this patient's chylothorax there is persistent accumulation of chyle in the pleural space. Appropriate management at this time includes which of the following procedures?

A
Neck exploration and ligation of the thoracic duct
B
Subdiaphragmatic ligation of the thoracic duct
C
Thoracotomy and repair of the thoracic duct
D
Thoracotomy and ligation of the thoracic duct
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