Postoperative chylothorax with a duplicated left-sided thoracic duct: a case report and review of the literature.
Duplicated left-sided thoracic duct
Esophageal cancer
Esophagectomy
Postoperative chylothorax
Video-assisted thoracoscopic surgery
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
04
03
2020
accepted:
22
04
2020
pubmed:
10
5
2020
medline:
26
3
2021
entrez:
10
5
2020
Statut:
ppublish
Résumé
Postoperative chylothorax is a potentially lethal complication after esophagectomy. A 53-year-old woman underwent subtotal esophagectomy. The thoracic duct was resected due to swollen lymph nodes. Postoperative chylothorax was diagnosed but conservative treatment was ineffective. Lipiodol lymphangiography revealed leakage from a duplicated left-sided thoracic duct. Left-sided video-assisted thoracoscopic ligation of the left-sided thoracic duct was performed. Because anatomical variations in the thoracic duct contribute to refractory chylothorax, lymphangiography is useful in detecting the position of thoracic duct injury as well as any duct anomalies. Based on lymphangiography, left-sided video-assisted thoracoscopic surgery could be considered in case of left-sided thoracic duct injury.
Identifiants
pubmed: 32385642
doi: 10.1007/s11748-020-01374-7
pii: 10.1007/s11748-020-01374-7
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM