Massive lymphatic leakage after lung cancer surgery via median sternotomy.


Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 29 03 2019
revised: 13 05 2019
accepted: 15 07 2019
entrez: 7 8 2019
pubmed: 7 8 2019
medline: 7 8 2019
Statut: epublish

Résumé

We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymphatic leakage in the anterior and middle mediastinum. The Chylous leakage was resolved by LAG with lipiodol. Our findings suggest that variation of the thoracic duct should be evaluated by LAG when intractable chylothorax or chylomediastinum develops after anterior mediastinal surgery.

Identifiants

pubmed: 31384424
doi: 10.1093/jscr/rjz178
pii: rjz178
pmc: PMC6667986
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjz178

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Auteurs

Kentaro Minegishi (K)

Department of General Thoracic Surgery.

Hiroyoshi Tsubochi (H)

Department of General Thoracic Surgery.

Kohei Hamamoto (K)

Department of Radiology, Saitama Medical Center, Jichi Medical University, Amanuma-cho 1-847, Omiya, Saitama, Japan.

Shunsuke Endo (S)

Department of General Thoracic Surgery.

Classifications MeSH