Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report

2019 ◽  
Vol 121 (2) ◽  
pp. 224-227
Author(s):  
Timo Rodi ◽  
Ba Tung Nguyen ◽  
Elmar Fritsche ◽  
Gunesh Rajan ◽  
Mario F. Scaglioni
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Direct Repair ◽  
Thoracic Duct Injury ◽  
Lymphovenous Anastomosis

scholarly journals Life threatening presentation of thoracic duct injury post thyroid surgery; a case report

2017 ◽  
Vol 34 ◽  
pp. 40-42 ◽  
Author(s):  
Hamzeh M. Halawani ◽  
Sohail Bakkar ◽  
Sarah F. Jamali ◽  
Farah Khalifeh ◽  
George Abi Saad
Keyword(s):  
Case Report ◽  
Thyroid Surgery ◽  
Thoracic Duct ◽  
Thoracic Duct Injury ◽  
Life Threatening

scholarly journals Thoracoscopic ligation of the thoracic duct for a massive chylothorax following a thoracolaparoscopic oesophagectomy

2018 ◽  
Vol 5 (10) ◽  
pp. 3441
Author(s):  
Venkateshwara Mahadevan ◽  
Karthick Kalaichelvan ◽  
Raghunath K. J. ◽  
Balachandran Premkumar ◽  
Sheena Ali ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Surgical Outcome ◽  
Interesting Case ◽  
Chyle Leak ◽  
Thoracic Duct Injury ◽  
Insidious Onset ◽  
Carcinoma Oesophagus ◽  
Long Course

Chyle leak is an uncommon yet solemn complication following several head, face and neck surgeries, especially malignancies. Thoracic duct injury usually has an insidious onset and a long course of response and improvement rendering the patient nutritionally debilitated and immunocompromised.  Hence, the prompt identification and treatment of a chyle leak is essential for an optimal surgical outcome. Here, we present an interesting case report of a chylothorax, as a postoperative sequela in a 70-year-old male with carcinoma oesophagus who underwent a Thoracolaparoscopic oesophagectomy. He was managed by a thoracoscopic ligation of the thoracic duct, which not only negated the need for a major thoracic procedure, but also provided a good surgical outcome.

scholarly journals Viscum album extract (Helixor-M) treatment for thoracic duct injury after modified radical neck dissection: a case report

Gland Surgery ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 832-836
Author(s):  
Chai-Won Kim ◽  
Jeong-Soo Kim ◽  
Ae-Hee Lee ◽  
Yong-Seok Kim
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Radical Neck Dissection ◽  
Viscum Album ◽  
Modified Radical Neck Dissection ◽  
Thoracic Duct Injury

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

Thoracic duct injury after decortication of lung, new technique to repair thoracic duct in this challenging situation: A case report

2021 ◽  
pp. 021849232199708
Author(s):  
Nandkishore Kapadia ◽  
Saumya Sekhar Jenasamant ◽  
Ganesh Sohan Singh Rawat ◽  
Shailesh Kamkhedkar ◽  
Pratik Shah ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Left Lung ◽  
Lower Lobe ◽  
Late Complications ◽  
Patch Repair ◽  
Double Lumen Tube ◽  
Complex Case ◽  
Thoracic Duct Injury ◽  
Thoracic Duct Ligation ◽  
Duct Ligation

Background Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Very few patients respond to conservative line of therapy. Thoracic duct ligation is often the treatment of choice in post-surgical patients; however, the optimal treatment of this disease process after traumatic injury remains unclear. Case presentation: We present the case of a 46-year-old woman with thoracic duct injury secondary to decortication for post-pneumonic empyema. Conservative therapy and pleurodesis done twice failed. She developed severe cachexia losing 15 kg in 30 days. She was referred to our center for ligation of thoracic duct. Preoperative lymphangiography located the duct injury in upper part of mediastinum. Computerized tomography scan of chest showed collapse of left lower lobe and thickened left pleura, indicating a significant pericardial effusion. She underwent decortication of left lung, pericardial window, and native pericardial patch repair of thoracic duct. Results and Conclusions: In this unusual and complex case, successful resolution of the chyle leak was achieved with new surgical technique of patch repair. The patient recovered well and was now on a normal diet. She has put on 12 kg in four months. We have avoided late complications of thoracic duct ligation by this technique. This nouvelle technique may be recommended as it is simple and effective. Ligation of thoracic duct carries late complications. Isolating right lung by double lumen tube may cause severe hypoxia as left-sided lung is not expanded as in this case.

The role of N-butyl-2-cyanoacrylate tissue glue in the management of cervical thoracic duct injury

2011 ◽  
Vol 49 ◽  
pp. S35
Author(s):  
J. Blythe ◽  
F. Haider ◽  
A. Habib ◽  
A. Gulati ◽  
P.A. Brennan
Keyword(s):  
Thoracic Duct ◽  
Tissue Glue ◽  
Thoracic Duct Injury

Case Report Thoracic duct-subclavian vein anastomosis in management of cirrhotic ascites

1980 ◽  
Vol 279 (3) ◽  
pp. 163-167 ◽  
Author(s):  
Eugene L. Coodley ◽  
Teruo Matsumoto
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Subclavian Vein

scholarly journals Large thoracic duct cyst – a case report and review of the literature

2000 ◽  
Vol 17 (6) ◽  
pp. 754-756 ◽  
Author(s):  
Alexandros Karajiannis ◽  
Thorsten Krueger ◽  
Eduard Stauffer ◽  
Hans-Beat Ris
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Review Of The Literature ◽  
Duct Cyst

Postoperative chylothorax with a duplicated left-sided thoracic duct: a case report and review of the literature

2020 ◽  
Vol 68 (11) ◽  
pp. 1350-1353 ◽  
Author(s):  
Ryoma Haneda ◽  
Eisuke Booka ◽  
Kenjiro Ishii ◽  
Hirotoshi Kikuchi ◽  
Yoshihiro Hiramatsu ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Review Of The Literature

scholarly journals Post-thyroidectomy hypocalcemia exacerbated by chyle leak

2015 ◽  
Vol 2015 ◽  
Author(s):  
Naweed Alzaman ◽  
Anastassios G Pittas ◽  
Miriam O'Leary ◽  
Lisa Ceglia
Keyword(s):  
Total Thyroidectomy ◽  
Thoracic Duct ◽  
Treatment Options ◽  
Oral Intake ◽  
Neck Surgery ◽  
List Type ◽  
Chyle Leak ◽  
Thoracic Duct Injury ◽  
Extensive Lymph Node ◽  
Learning Points

Summary Transient hypocalcemia after thyroidectomy is not uncommon and the risk increases with the extent of neck surgery. We report a case of severe and prolonged hypocalcemia after total thyroidectomy complicated by thoracic duct injury. Hypoparathyroidism and thoracic duct injury are potential complications following total thyroidectomy with extensive lymph node dissection. This case suggested that having both conditions may complicate treatment of hypoparathyroid-induced hypocalcemia by way of losses of calcium and vitamin D in the chyle leak. Learning points This report highlights chyle leak as an uncommon cause of prolonged hypocalcemia in patients who have undergone extensive neck surgery. Chyle has an electrolyte concentration similar to that of plasma. Medical treatment options for a chyle leak include fat-free oral diet or parenteral nutrition without oral intake, pharmacological treatment (primarily octreotide).

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