Chyle Fistula in Right Cervical Area After Thyroid Surgery
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Thoracic duct injury is an infrequent (1-2.5%) but severe complication after neck surgery, leading to nutritional, metabolic and immunologic deficiencies. We report a case of a 34-year-old woman with a right thoracic duct injury after surgery of a thyroid medullar cancer effectively treated with conservative management (parenteral nutrition and intravenous somatostatin). Optimal treatment of these patients is unclear, without a clear limit between conservative and surgical treatment.
Ganesan A, Singh N, Khatri N, Madaan C, Kaur S, Kaur A J Korean Assoc Oral Maxillofac Surg. 2024; 50(1):3-12.
PMID: 38419516 PMC: 10910005. DOI: 10.5125/jkaoms.2024.50.1.3.
Chylous fistula: management of a rare complication following right anterior cervical spine approach.
Novegno F, Granaroli P, Ciccoritti L, Lunardi P, Fraioli M Eur Spine J. 2019; 28(Suppl 2):61-67.
PMID: 30820672 DOI: 10.1007/s00586-019-05929-y.
Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies.
Delaney S, Shi H, Shokrani A, Sinha U Int J Otolaryngol. 2017; 2017:8362874.
PMID: 28203252 PMC: 5288539. DOI: 10.1155/2017/8362874.
Thoracic duct fistula after thyroid cancer surgery: towards a new treatment?.
Rodier J, Volkmar P, Bodin F, Frigo S, Ciftci S, Dahlet C Case Rep Oncol. 2011; 4(2):255-9.
PMID: 21734879 PMC: 3124458. DOI: 10.1159/000328801.
Management of lymph fistulas in thyroid surgery.
Lorenz K, Abuazab M, Sekulla C, Nguyen-Thanh P, Brauckhoff M, Dralle H Langenbecks Arch Surg. 2010; 395(7):911-7.
PMID: 20652586 DOI: 10.1007/s00423-010-0686-2.