A Rare Case of Mediastinal Cyst: Thoracic Duct Cyst

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.

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Incidental diagnosis of primary papillary carcinoma arising from thyroglossal duct cyst: A rare case report

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i1.9305 ◽

2014 ◽

Vol 6 (1) ◽

pp. 129-131

Author(s):

Mukta Rawte ◽

Nabaneet Majumder ◽

Virendra Dafle ◽

Pramod Purohit

Keyword(s):

Papillary Carcinoma ◽

Rare Case ◽

Thyroglossal Duct Cyst ◽

Neck Swelling ◽

Medical Sciences ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Rare Case Report ◽

Thyroglossal Duct Cysts ◽

Thyroid Development

Thyroglossal duct cysts are most common congenital anomalies in thyroid development and are usually presented with midline neck swelling. The co-existence of carcinoma in thyroglossal duct cyst’s is extremely rare. We, herein present a case of primary papillary carcinoma arising from thyroglossal duct cyst in a 45 year old woman. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9305 Asian Journal of Medical Sciences Vol.6(1) 2015 129-131

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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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A Rare Case of a Thyroglossal Duct Cyst in Sublingual and Submental Region Present as Submental Abscess

otolaryngology ◽

10.4172/2161-119x.1000111 ◽

2012 ◽

Vol 02 (02) ◽

Cited By ~ 1

Author(s):

Dnyaneshwar Bharat Ahire ◽

Vandana Thorawade

Keyword(s):

Rare Case ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct

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A rare case of a concurrent large thyroglossal duct cyst with a base of tongue haemangioma

BMJ Case Reports ◽

10.1136/bcr.10.2010.3393 ◽

2011 ◽

Vol 2011 (feb21 2) ◽

pp. bcr1020103393-bcr1020103393 ◽

Cited By ~ 2

Author(s):

K. McNamara ◽

O. Olaleye ◽

J. Smith ◽

D. Karamchandani ◽

J. Watkinson

Keyword(s):

Rare Case ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Base Of Tongue

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A rare case of incidentally diagnosed primary papillary carcinoma of thyroglossal duct cyst

Indian Journal of Surgery ◽

10.1007/s12262-007-0006-4 ◽

2007 ◽

Vol 69 (4) ◽

pp. 145-146 ◽

Cited By ~ 4

Author(s):

Himanshu Aggarwal ◽

Sushant Wadhera ◽

R. S. Raikwar ◽

Sumit Shukla ◽

R. K. Mathur

Keyword(s):

Papillary Carcinoma ◽

Rare Case ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct

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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 Chylothorax following Septic Pulmonary Embolization

Case Reports in Pulmonology ◽

10.1155/2020/3979507 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Michael Agustin ◽

Michele Yamamoto ◽

Chawat Tongma ◽

Leslie Anne Chua ◽

Michael Torres ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Pleural Effusion ◽

Thoracic Duct ◽

Rare Case ◽

Methicillin Resistant Staphylococcus Aureus ◽

Pleural Cavity ◽

Rare Form ◽

Diet Modification ◽

Traumatic Chylothorax ◽

Pulmonary Embolization

Chylothorax is the occurrence of chyle (lymph) in the pleural cavity secondary to damage of the thoracic duct. It is a rare form of pleural effusion which appears as a milky white turbid fluid. Malignancy is the leading cause of nontraumatic chylothorax while inadvertent surgical injury to the thoracic duct is the major cause of traumatic chylothorax. We report a case of spontaneous left-side chylothorax following septic pulmonary embolization (SPE) with Methicillin-Resistant Staphylococcus aureus (MRSA). This is a rare case of a nonmalignant, nontraumatic, and nontuberculous spontaneous chylothorax which was conservatively treated with fibrinolysis and diet modification.

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