scholarly journals Thoracic duct embolization via chest tube for a patient with postoperative traumatic chylothorax

2021 ◽  
Vol 64 (6) ◽  
pp. E650-E653
Author(s):  
Erin Williams ◽  
Nader Hanna ◽  
Ben Mussari ◽  
Wiley Chung
Keyword(s):  
Thoracic Duct ◽  
Chest Tube ◽  
Traumatic Chylothorax

scholarly journals Spontaneous Chylothorax following Septic Pulmonary Embolization

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.

Thoracoscopic thoracic duct ligation for traumatic chylothorax

2001 ◽  
Vol 72 (4) ◽  
pp. 1366-1367 ◽  
Author(s):  
Keith G Buchan ◽  
Amir-Reza Hosseinpour ◽  
Andrew J Ritchie
Keyword(s):  
Thoracic Duct ◽  
Thoracic Duct Ligation ◽  
Duct Ligation ◽  
Traumatic Chylothorax

scholarly journals A case of non-traumatic chylothorax treated by percutaneous transvenous embolization of the thoracic duct

2017 ◽  
Vol 31 (1) ◽  
pp. 122-126
Author(s):  
Hiroshi Sugimura ◽  
Ikuo Yamazaki ◽  
Yusuke Ito ◽  
Yue Cong ◽  
Hiroaki Nomori ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Transvenous Embolization ◽  
Traumatic Chylothorax

Traumatic chylothorax: a dilemma to surgeons and interventionists

2021 ◽  
Vol 14 (5) ◽  
pp. e238961
Author(s):  
Parvez Mohi Ud Din Dar ◽  
Shivanand Gamanagatti ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Success Rate ◽  
Blunt Trauma ◽  
Treatment Option ◽  
Thoracic Duct ◽  
Chest Trauma ◽  
Neck Surgery ◽  
Invasive Treatment ◽  
Traumatic Chylothorax

Chylothorax is generally seen due to iatrogenic injury to the thoracic duct during thoracic or neck surgery. It can also be encountered secondary to chest trauma either blunt or penetrating. Percutaneous thoracic duct embolisation is an alternative to surgical treatment and is considered an effective and safe minimally invasive treatment option for chylothorax with a success rate of about 80%. We present a case of blunt trauma to the chest with chylothorax, which was successfully managed with transvenous retrograde thoracic duct embolisation.

Cardiopulmonary Diseases: Nonvascular Diseases

2018 ◽  
pp. 351-359
Author(s):  
John Smirniotopoulos ◽  
William F. Browne ◽  
Resmi A. Charalel
Keyword(s):  
Thoracic Duct ◽  
Clinical Setting ◽  
Chest Tube ◽  
Tube Thoracostomy ◽  
Tube Placement ◽  
Pleural Effusions ◽  
Interventional Radiologist ◽  
Chest Tube Placement ◽  
Image Guided ◽  
System P

Pleural effusions are frequently encountered in the clinical setting, affect thousands of patients annually, and have numerous etiologies. The interventional radiologist has an important set of tools available for the treatment of pleural effusions, ranging from image-guided chest tube placement to thoracic duct (TD) embolization. Knowledge of these nonvascular percutaneous interventions is an essential part of the basic and advanced toolset for every practicing interventional radiologist. An understanding of the pathophysiology of various pleural pathologies, the appropriate indications for small-caliber tube thoracostomy placement, and the management of chest tubes in the periprocedural setting is vital for appropriate patient care. In this chapter, the etiologies, management protocols, and techniques for treatment of several types of pleural effusions are reviewed, with a special look at the lymphatic system.

scholarly journals Traumatic Thoracic Duct Transection managed with Left Thoracoscopy: A Case Report and Review of Literature

2013 ◽  
Vol 2 (2) ◽  
pp. 97-99
Author(s):  
Eduardo Smith-Singares ◽  
Abdul Saied
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Stab Wound ◽  
Penetrating Trauma ◽  
Tube Placement ◽  
Review Of Literature ◽  
Nonsurgical Management ◽  
Traumatic Chylothorax ◽  
Level I ◽  
The Right

ABSTRACT Context Chylothorax is an uncommon complication after penetrating trauma to the chest and the neck. Only 25% of all chylothorax cases are related to penetrating trauma. We report such a case on a transmediastinal stab wound, managed by video-assisted thoracic surgery. Case report A 48-year-old male presented to our level I trauma center after sustaining a stab wound to the right chest. Initial workup revealed a left side pneumothorax. After chest tube placement 700 ml of blood and milky fluid were recovered. The patient was managed initially with TPN, without success. On day 3, he was taken to the OR for a left VATS. The thoracic duct was dissected and the injury identified and controlled with hemoclips. The intervention was successful and the patient was discharged on POD #4. Discussion Chylothorax are classified and managed according to the daily output of the fistula. While low output chylothorax are more frequent, more likely related to malignancy of the mediastinum and lymph nodes, and more likely to close with nonsurgical management; traumatic chylothorax are generally high output and more likely to require surgical intervention. The different approaches to this difficult pathology are reviewed. How to cite this article Smith-Singares E, Saied A. Traumatic Thoracic Duct Transection managed with Left Thoracoscopy: A Case Report and Review of Literature. Panam J Trauma Critical Care Emerg Surg 2013;2(2):97-99.

scholarly journals A rare case of traumatic chylothorax after blunt thoracic trauma

2017 ◽  
Vol 145 (1-2) ◽  
pp. 73-76
Author(s):  
Marko Spasic ◽  
Milos Arsenijevic ◽  
Nikola Doncic ◽  
Stanko Mrvic ◽  
Dragan Stojkovic ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Rare Case ◽  
Thoracic Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Penetrating Trauma ◽  
Blunt Thoracic Trauma ◽  
Laboratory Findings ◽  
Thoracic Drainage ◽  
Traumatic Chylothorax

Introduction. Chylothorax is an accumulation of chyle in the pleural cavity due to a disruption of the thoracic duct. Traumatic chylothoraces are usually a result of a penetrating trauma and disruption of the thoracic duct, but blunt traumatic chylothorax is a rare condition. The aim of this paper is to present a rare case of traumatic chylothorax after blunt thoracic trauma. Case Outline. We present a case of traumatic chylothorax after blunt thoracic trauma in a patient injured in a motor vehicle accident. The patient had a right-sided fracture of rib XI, hydropneumothorax, lung contusion, and signs of pneumomediastinum. We performed thoracic drainage, but a few days later, according to the increase of amount of the fluid daily drained, and the confirmation of laboratory findings of the analyzed fluid, we made a diagnosis of chylothorax and the patient underwent a thoracotomy, where we sutured the thoracic duct. Conclusion. Chylothorax should be considered in patients after chest trauma if they develop a milky pleural effusion. Analysis of pleural fluid and level of triglycerides is important for the diagnosis and treatment of chylothorax.

Computed Tomography-Guided Percutaneous Thoracic Duct Sclero-Embolization for Persistent Chylothorax

2016 ◽  
Vol 11 (4) ◽  
pp. 291-294
Author(s):  
Rodrigo Gobbo Garcia ◽  
Rafael Dahmer Rocha ◽  
Juliana Franceschini ◽  
Mário Cláudio Ghefter ◽  
Breno Boueri Affonso ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Procedures ◽  
Thoracic Duct ◽  
Chest Tube ◽  
Morbid Condition ◽  
Thoracic Duct Injury ◽  
Mediastinal Lymphangioma ◽  
Tube Output ◽  
Chest Tube Output

Postoperative chylous leak is often a consequence of thoracic duct injury during surgical procedures. Persistent chylothorax can be an extremely morbid condition. The authors describe a case of a refractory and long-standing chylous leak after thoracotomy for mediastinal lymphangioma removal. The patient was treated with a computed tomography-guided percutaneous thoracic duct sclero-embolization after failure of the conventional therapies. The chest tube output abruptly decreased after the procedure and was removed at 13th day. Percutaneous thoracic duct sclero-embolization proved to be safe and effective in the treatment of a persistent chylothorax.

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