Thoracoscopic resection of a thoracic duct cyst that developed during follow-up for a thymic cyst

AbstractA 58-year-old male presented with chronic abdominal pain lasting 5 years and a 15 × 6-cm multicystic thoracic duct cyst with three compartments, located in the right retrocrural and retrocardiac regions from T5/T6 to T12/L1. A transhepatic route was selected to sclerose the middle and lower compartments. Subsequent contrast injection showed minimal contrast passage into the upper compartment through a narrow neck, but the guidewire could not pass into this compartment. The contrast-filled upper compartment was punctured with a 22-g Chiba needle using a translumbar approach under cone-beam computed tomography (CT) guidance and ethanol sclerotherapy was performed. Six-month follow-up CT revealed decreased thoracic duct cyst size (5×3 cm) and no pain. This case illustrates successful percutaneous transhepatic and translumbar sclerotherapy for retrocardiac and retrocrural thoracic duct cysts, which are very difficult to remove surgically.

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Spontaneous regression of a supraclavicular thoracic duct cyst: case report with a follow-up of 25 years

British Journal of Radiology ◽

10.1259/bjr/61472642 ◽

2009 ◽

Vol 82 (980) ◽

pp. e148-e150 ◽

Cited By ~ 6

Author(s):

U ZÄTTERSTRÖM ◽

J P AANESEN ◽

A KOLBENSTVEDT

Keyword(s):

Case Report ◽

Thoracic Duct ◽

Spontaneous Regression ◽

Duct Cyst

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

European Journal of Cardio-Thoracic Surgery ◽

10.1016/s1010-7940(00)00447-4 ◽

2000 ◽

Vol 17 (6) ◽

pp. 754-756 ◽

Cited By ~ 18

Author(s):

Alexandros Karajiannis ◽

Thorsten Krueger ◽

Eduard Stauffer ◽

Hans-Beat Ris

Keyword(s):

Case Report ◽

Thoracic Duct ◽

Review Of The Literature ◽

Duct Cyst

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Thoracic duct cyst presenting as abdominal pain

Surgery ◽

10.1016/j.surg.2018.01.008 ◽

2018 ◽

Vol 163 (6) ◽

pp. 1324

Author(s):

Ahmed Abu-Zaid ◽

Ali Mohammed Alakhtar ◽

Faisal Dkhalallah Alshamdin ◽

Waleed Saleh

Keyword(s):

Abdominal Pain ◽

Thoracic Duct ◽

Duct Cyst

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Long-Term Follow-Up of Dogs, with a Patent Anastomosis of the Thoracic Duct to the Esophagus

European Surgical Research ◽

10.1159/000127704 ◽

1974 ◽

Vol 6 (1) ◽

pp. 46-55 ◽

Cited By ~ 1

Author(s):

Toru Kawai ◽

Evtime Stoitchcov ◽

Claude Lorenzini ◽

Michel Merle ◽

Roger Benichoux

Keyword(s):

Thoracic Duct ◽

Long Term Follow Up

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Direct puncture sclerotherapy of a thoracic duct cyst presenting as an enlarging left supraclavicular mass

BMJ Case Reports ◽

10.1136/bcr-2013-010844 ◽

2013 ◽

Vol 2013 (oct30 1) ◽

pp. bcr2013010844-bcr2013010844 ◽

Cited By ~ 2

Author(s):

Y. Kadkhodayan ◽

M. Yano ◽

D. T. Cross

Keyword(s):

Thoracic Duct ◽

Duct Cyst ◽

Direct Puncture

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Spontaneous thoracic duct cyst presenting as a left supraclavicular mass – report of a case and review of literature

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2008.008056 ◽

2009 ◽

Vol 24 (2) ◽

pp. 82-84 ◽

Cited By ~ 10

Author(s):

Yan An Wang ◽

Zhi Yuan Zhang ◽

Jia Wei Zheng ◽

Wei Min Ye ◽

Li Zhen Wang ◽

...

Keyword(s):

Chemical Analysis ◽

Fine Needle Aspiration ◽

Thoracic Duct ◽

Needle Aspiration ◽

Management Options ◽

Duct Cyst ◽

Fine Needle ◽

Duct Ligation ◽

Supraclavicular Fossa ◽

Rare Differential Diagnosis

Spontaneous and asymptomatic supraclavicular thoracic duct cysts occurring in the neck are the rarest. We report a case of a huge thoracic duct cyst occurring in the supraclavicular fossa with a review of the literature and management options. A 28-year-old female had a left supraclavicular mass with a 10-year history. A cervical thoracic duct cyst was diagnosed after chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration. Treatment was achieved by surgical excision of the cyst and thoracic duct ligation. Pathological analysis of the cyst after excision confirmed the diagnosis. In the case of left supraclavicular masses, the rare differential diagnosis of thoracic duct cysts must be considered as a possibility. Magnetic resonance imaging as the imaging method of choice and chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration are sufficient for primary diagnosis. The treatment of this disease consists of simple excision.

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Thoracic duct cysts: A rare differential diagnosis

Otolaryngology ◽

10.1016/j.otohns.2004.09.002 ◽

2005 ◽

Vol 132 (2) ◽

pp. 330-333 ◽

Cited By ~ 19

Author(s):

Frank Gottwald ◽

Heinrich Iro ◽

Carsten Finke ◽

Johannes Zenk

Keyword(s):

Differential Diagnosis ◽

Thoracic Duct ◽

Jugular Vein ◽

Primary Diagnosis ◽

Imaging Method ◽

Left Internal Jugular Vein ◽

Duct Cyst ◽

X Ray ◽

Adjacent Structures ◽

Rare Differential Diagnosis

OBJECTIVE: Cysts of the thoracic duct located in the supraclavicular region are uncommon. To date only 12 cases in this topographic area have been described in the literature. Between 1998 and 2002, 5 patients presented to our department with the primary symptom of a palpable soft left-supracavicular swelling that could be displaced relative to adjacent structures. SETTING: In each case, sonography showed a hypoechogenic, almost echo-free, distinctly outlined polycyclic structure with distal echo enhancement at the junction of the left internal jugular vein and the subclavian vein. All 5 patients underwent surgery, the cysts were extirpated, and the numerous communicating lymph vessels localized and meticulously ligated. Pathohistologic analysis of the milky, yellowish fluid obtained by intraoperative puncture confirmed the initial suspicion of a thoracic duct cyst in all patients. CONCLUSION: In the case of left supraclavicular masses, the rare differential diagnosis of a thoracic duct cyst must be considered as a possibility. Sonography as the imaging method of choice is sufficient for primary diagnosis. In addition, a thorax x-ray should be performed in order to exclude an intrathoracic involvement. Surgical extirpation marks the therapy of choice in treating such cysts.

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Prenatal Ultrasound Diagnosis of a Cyst of the Oral Cavity: An Unusual Case of Thyroglossal Duct Cyst Located on the Tongue Base

Case Reports in Obstetrics and Gynecology ◽

10.1155/2016/7816306 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

E. Rodríguez Tárrega ◽

S. Fuster Rojas ◽

R. Gómez Portero ◽

S. Roig Boronat ◽

G. Pérez Martínez ◽

...

Keyword(s):

Surgical Treatment ◽

Oral Cavity ◽

Unusual Case ◽

Thyroglossal Duct Cyst ◽

Prenatal Ultrasound ◽

Tongue Base ◽

Ultrasound Diagnosis ◽

Duct Cyst ◽

Thyroglossal Duct

We describe a case of a lingual thyroglossal duct cyst diagnosed prenatally by ultrasound at 26 weeks of gestation. The follow-up ultrasound scans revealed no changes in the cyst measurement. Surgical treatment was performed without any complication 72 hours after delivery with good results.

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Hodgkin Lymphoma in a Thymic Cyst: Report of a Case with Multiple Secondary Neoplasms

Case Reports in Medicine ◽

10.1155/2010/795037 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4

Author(s):

Saeeda Almarzooqi ◽

Sue Hammond ◽

Samir B. Kahwash

Keyword(s):

Bone Marrow ◽

Hodgkin Lymphoma ◽

Bone Marrow Transplant ◽

Lymphoproliferative Disorder ◽

Marrow Transplant ◽

Thymic Cyst ◽

Malignant Neoplasms ◽

Secondary Neoplasms ◽

Second Malignant Neoplasms

The presentation of Hodgkin Lymphoma in a thymic cyst is rare. We describe a case in a 9 year-old boy, with a long follow-up course, complicated by two secondary neoplasms and a post bone marrow transplant lymphoproliferative disorder. We also review the literature on such presentations and second malignant neoplasms in childhood.

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