scholarly journals Variations in the Management of Cervical Thoracic Duct Cyst

2020 ◽  
Vol 5 (2) ◽  
pp. 1-8
Author(s):  
Edgardo Abelardo ◽  
Priyanka Shastri ◽  
Vinod Prabhu
Keyword(s):  
Thoracic Duct ◽  
Surgical Intervention ◽  
Surgical Excision ◽  
External Pressure ◽  
Duct Cyst ◽  
Low Fat Diet ◽  
Uncomplicated Case ◽  
Standard Tool ◽  
Resolution Imaging ◽  
Management Approaches

We present an uncomplicated case report of a cervical thoracic duct cyst (CTDC) in a 61-year-old woman treated with surgical excision. We reviewed 47 similar cases since it was first described in 1964 and evaluated the different diagnostic and management approaches. Previously believed to be the gold standard tool for evaluation, lymphangiography is now less popular due to advent of high-resolution imaging combined with aspiration techniques. CTDC treatment includes observation, low-fat diet, repeated aspirations, external pressure, sclerotherapy, embolisation, and surgical intervention. The preferred management of choice to date is surgical excision.

scholarly journals Infected Recurrent Thyroglossal Duct Cyst: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 411-413
Author(s):  
Jennifer Foti ◽  
Felipe Grimaldo
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Acute Infection ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Computed Tomography Imaging ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
History Of

Introduction: A thyroglossal duct cyst (TGDC) is a congenital malformation in the neck. Surgical management is often recommended due to risk of recurrent infections and rare possibility of malignancy. Case Report: Herein, we describe the case of an adult presenting with tender neck mass and fever. She had a history of previous surgical excision of her TGDC as a child. On evaluation she was found to have a recurrent TGDC complicated by acute infection via computed tomography imaging. Conclusion: In patients who have had previous surgical intervention to remove a TGDC, recurrence with infection should remain a diagnostic consideration.

scholarly journals Successful Surgical Treatment of Idiopathic Chylothorax in a Cat

2018 ◽  
Vol 46 ◽  
pp. 5
Author(s):  
Lara Patrícia Santos Carrasco ◽  
Renato Leão Sá De Oliveira ◽  
Clarissa Martins do Rio Moreira ◽  
Carla Regina Gomes Rodrigues Santos ◽  
Mariana Palha de Brito Jardim ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Thoracic Duct ◽  
Surgical Intervention ◽  
Domestic Cat ◽  
Thoracic Cavity ◽  
Low Fat ◽  
Low Fat Diet ◽  
Duct Ligation ◽  
Pulmonary Parenchyma ◽  
Chylous Effusion

Background: Chylothorax in cats represents a challenge due to the possibility of involvement of multiple etiologies and the harmful consequences resulting of the presence of the chylous effusion in the thorax. The causes include neoplasms in the thoracic cavity, heart disease and thoracic injuries. It is imperative that clinical nutritional and therapeutic and / or surgical management be immediate and directed to the treatment of the cause. The objective of this work was to report a case of idiopathic chylothorax in a domestic cat solved through surgical intervention and dietary maintenance applied.Case: A 4-year-old male cat, fed with diet for the age range of adult cats, was attended at the Veterinary Hospital of the Federal Rural University of Rio de Janeiro (HV - UFRRJ), with clinical complaint of difficulty breathing, inappetence, prostration and weight loss. In the clinical examination was verified intense tachypnea, presence of heart murmur, normocoratedmucosae, dehydration 7%. The animal was sedated to be submitted to radiographic examination of the thorax with pethidine and midazolam. Thoracic radiographs on the lateral, ventral-dorsal and orthostatic positions were realized and severe pleural effusion was observed in both hemitorax with drainage of 180 mL of lactescent fluid from the right hemithorax and 120 mL of left hemithorax liquid. Through analysis of cavity liquids the effusion was classified as chylous effusion. The hemogram showed a neutrophilic leukocytosis. Serum cholesterol and triglyceride concentrations (28 mg/dL and 43 mg/dL, respectively) were lower than the concentrations of the cavity liquid (67 mg/dL and 722 mg/dL, respectively).Ultrasound examination revealed no mass in the thoracic cavity and no changes in the pulmonary parenchyma. The echocardiographic examination was also performed and did not reveal any cardiac alterations. The initial treatment consisted of the clinical approach, through the exclusive alimentary management with low fat diet, in order to reduce toreduce the amount of chylous in the thorax. The rutine was administered at a dose of 250 mg/cat every 8 h orally. After 15 days, due to an unsatisfactory response to conservative treatment, surgical intervention was indicated. The technique used was pleural omentalization with block ligation of the thoracic duct without mesenteric lymphangiography together with pericardectomy and placement of the thoracic drain. During the postoperative period the animal remained under intensive care, with nasal oxygen therapy and intense analgesia during the first 72 h. After 20 days, the production of the chylous liquid was 2 mL/kg/ day, which made it possible to remove the drain. The cat received continuously with the exclusive diet of low fat to reduce the production of the chylous, without recurrence of chylous up to the present moment.Discussion: It is important to establish in a first approach of animals with chylous exudation the management of low-fat foods, along with appropriate pharmacological therapy, monitoring the patient in a constant and cautious way. If conservative clinical intervention is not satisfactory within 5 to 10 days, rapid surgical treatment is essential, due to the risk offibrosing pleuritis with consequent involvement of the pulmonary parenchyma, as occurred in this report. Duct ligation surgery and the pericardectomy was satisfactory for the resolution of the constant chylous production in the thorax of the animal, as well as the use of the low fat diet was essential to reduce the chylous effusion and fibrosing pleurisy, both the interventions made possible the maintenance of the patient’s health and well-being.Keywords: feline, cavitary fluid, quilting effusion, thoracic duct.

scholarly journals Cystic form of biliary atresia. Treatment experience

2020 ◽  
Vol 10 (1) ◽  
pp. 17-24
Author(s):  
Irina I. Borisova ◽  
Anatoliy V. Kagan ◽  
Svetlana A. Karavaeva ◽  
Aleksey N. Kotin
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Atresia ◽  
Bile Ducts ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Duct Cyst ◽  
Cystic Form ◽  
The Common

Background. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally. In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct. This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration (atresia) of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure. The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation. The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child. External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome. Aim. Demonstrate a rare type of biliary atresia. Materials and methods. Between 2001 and 2019, 33 patients with biliary atresia were treated in the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst. Children were operated on at the age of 2 and 3.5 months. The first patient underwent surgery Kasai, the second hepaticoyunoanastomosis. Results. During the observation period (9 years and 4 years), the synthetic function of the liver is normal, and there are currently no indications for transplantation. Conclusion. If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.

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

Thoracic duct cyst presenting as abdominal pain

Surgery ◽  
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

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

2013 ◽  
Vol 2013 (oct30 1) ◽  
pp. bcr2013010844-bcr2013010844 ◽  
Author(s):  
Y. Kadkhodayan ◽  
M. Yano ◽  
D. T. Cross
Keyword(s):  
Thoracic Duct ◽  
Duct Cyst ◽  
Direct Puncture

scholarly journals Bruises around the umbilicus in an infant

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Sam Hassan ◽  
Ghassan Nakib ◽  
Mary J. Saviour
Keyword(s):  
Silver Nitrate ◽  
Topical Application ◽  
Congenital Abnormality ◽  
Surgical Intervention ◽  
Histopathological Examination ◽  
Pancreatic Tissue ◽  
Duct Cyst ◽  
Omphalomesenteric Duct ◽  
Common Causes ◽  
First Time

The most common causes of umbilical discharge in infancy are infection and umbilical granuloma that may be treated by antibiotics and topical application of silver nitrate subsequently. If the umbilical discharge persists or if there is any abnormal discoloration around the umbilicus, it is important to investigate for underlying congenital abnormality that may be cured by surgical intervention. Unusual presentation of omphalomesenteric duct cyst has been reported in literature. We report, for the first time as far as our search is concerned, a case of a 16-month-old infant who presented initially with persistent umbilical discharge and finally with bruising around the umbilicus in keeping with Cullen’s sign. A diagnosis of omphalomesenteric duct cyst containing pancreatic tissue was made on histopathological examination. This case emphasizes that, a persistent umbilical discharge and or discoloration around the umbilicus should be further investigated and an omphalomesenteric duct cyst can present as Cullen’s sign.

Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts

2016 ◽  
Vol 8 (3) ◽  
pp. 97-100
Author(s):  
Sudhir Naik ◽  
BL Yatish Kumar ◽  
S Ravishankara ◽  
T Shashikumar ◽  
RM Deekshith
Keyword(s):  
Slight Modification ◽  
Surgical Excision ◽  
Complete Removal ◽  
Tongue Base ◽  
Duct Cyst ◽  
Cyst Excision ◽  
Incomplete Removal ◽  
Sistrunk Procedure ◽  
Novel Method ◽  
Sistrunk Operation

ABSTRACT Background/objectives Managing thyroglossal duct cyst requires surgical excision of the cyst with its tract through the tongue base. Incomplete removal results in cyst recurrence, the common complications of incompletely performed Sistrunk procedure. The Modified Sistrunk procedure using skin punches increases the easiness of surgery and chances of complete removal of the tract. Materials and methods Resection of the middle body of the hyoid was done by coring out the nonossified bone with 4.5 mm skin punches under 3.5× loupes and the tract above till the base. Results A total of 14 primary cases were operated by this slight modification, and no recurrences were seen on 1 year of follow-up. Conclusion Sistrunk operation is the treatment of choice for primary thyroglossal cysts. Modified Sistrunk operation using skin punches results in easy and precise coring of the hyoid bone with the tract attached to it. Secondary cysts should be treated with removal of core of tongue base muscle and foramen cecum mucosa along with hyoid and scarred cyst excision. How to cite this article Naik SM, Kumar BLY, Ravishankara S, Shashikumar T, Deekshith RM. Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts. Int J Otorhinolaryngol Clin 2016;8(3):97-100.

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

2011 ◽  
Vol 59 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Yuji Taniguchi ◽  
Ken Miwa ◽  
Yoshin Adachi ◽  
Shinji Fujioka ◽  
Tomohiro Haruki ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Thymic Cyst ◽  
Thoracoscopic Resection ◽  
Duct Cyst

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

2009 ◽  
Vol 24 (2) ◽  
pp. 82-84 ◽  
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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