Unusual airway obstruction due to thoracic duct injury after whiplash injury

2020 ◽  
Author(s):  
Sung Wook Chang
Keyword(s):  
Airway Obstruction ◽  
Thoracic Duct ◽  
Whiplash Injury ◽  
Thoracic Duct Injury

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

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).

Thoracic Duct Injury From Blunt Trauma

1984 ◽  
Vol 77 (5) ◽  
pp. 667-668 ◽  
Author(s):  
GANESH P. PAI ◽  
NAZIR A. BHATTI ◽  
ROBERT G. ELLISON ◽  
JOSEPH W. RUBIN ◽  
H VICTOR MOORE
Keyword(s):  
Blunt Trauma ◽  
Thoracic Duct ◽  
Thoracic Duct Injury

Interventional Therapies for Thoracic Duct Injury and Intractable Chylothorax

2019 ◽  
Vol 34 (4) ◽  
pp. 258-265 ◽  
Author(s):  
Paula M. Novelli ◽  
Ernest G. Chan ◽  
Aletta A. Frazier ◽  
Manuel Villa Sanchez
Keyword(s):  
Thoracic Duct ◽  
Thoracic Duct Injury ◽  
Interventional Therapies

scholarly journals Thoracic Duct Injury: An Unusual Complication following Subclavian Catheterization for Hemodialysis

Nephron ◽  
1987 ◽  
Vol 46 (4) ◽  
pp. 390-391 ◽  
Author(s):  
J.M. Campistol ◽  
A. Cases ◽  
J. López-Pedret ◽  
L. Revert
Keyword(s):  
Thoracic Duct ◽  
Unusual Complication ◽  
Thoracic Duct Injury

Thoracic duct injury during anterior cervical discectomy: a rare complication

1998 ◽  
Vol 88 (1) ◽  
pp. 151-154 ◽  
Author(s):  
Anna Kristina E. Hart ◽  
John H. Greinwald ◽  
Christopher I. Shaffrey ◽  
Gregory N. Postma
Keyword(s):  
Thoracic Duct ◽  
Early Recognition ◽  
Rare Complication ◽  
Content Type ◽  
Cervical Discectomy ◽  
Aggressive Management ◽  
Thoracic Duct Injury ◽  
First Case ◽  
Chyle Leakage ◽  
Chylous Fistula

✓ Chylous fistula resulting from intraoperative injury to the cervical thoracic duct is well described as a complication of neck dissection. However, injury to the thoracic duct during spinal surgery is rarely reported. The authors present the first case of thoracic duct injury occurring during cervical discectomy and fusion via an anterior approach. The anomalous location of the terminal arch of the thoracic duct in this patient contributed to the complication. The morbidity of chyle leakage is minimized by its early recognition, a thorough understanding of lymphatic system anatomy, and aggressive management of the thoracic duct injury.

scholarly journals Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience

2015 ◽  
Vol 7 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Deepak Thomas Abraham ◽  
Anish Cherian ◽  
Mazhuvanchary Jacob Paul
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Cancer Surgery ◽  
Safe Procedure ◽  
Single Center ◽  
Chyle Leak ◽  
Single Center Experience ◽  
Thoracic Duct Injury ◽  
Combination Of Methods

ABSTRACT Introduction Surgery for thyroid cancers often necessitates a neck dissection. This is usually a safe procedure, but can be associated with complications. Chyle leak is one such complication, fortunately rare. There is a dearth of literature with regard to the management of chyle leak in the neck. We present a single center experience in the management of chyle leak in the neck, to improve the understanding of its management. Materials and methods A retrospective analysis of patients with thyroid cancer, managed between January 1st 2005 and December 31st 2011, in a single institution was performed. Among these, patients with chyle leak were identified. All pertinent data collected and results analyzed using STATA (v10). Results Three hundred and seventy-three/eight hundred and twenty-one (45.4%) patients surgically managed for thyroid cancer underwent a neck dissection. Thoracic duct injury was recog- nized and managed intraoperatively in 20/373 (5.4%) patients. The leak was prevented in the majority (66.6%) of patients in whom a combination of methods were employed. 25/373 (6.7%) patients were diagnosed and managed for chyle leak postoperatively. Seven patients required re-exploration. This included patients with low output chyle leaks who may have settled in a week to 10 days with conservative management. A combination of techniques was successful in the majority (71.4%). The remaining patients were successfully managed conservatively. Conclusion We conclude that using a combination of methods to manage thoracic duct injury may be better than using a single modality alone. Early re-exploration was more economical and acceptable for a subset of our patients, as they come from long distances at personal cost. How to cite this article Cherian a, Ramakant P, Paul MJ, Abraham DT. Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience. World J Endoc Surg 2015;7(1):6-9.

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