PDF herunterladen
CC BY 4.0 · Surg J (N Y) 2020; 06(03): e157-e159
DOI: 10.1055/s-0040-1713417
Case Report

An Unusual Cause of Chylothorax after Esophagectomy

John Mathew Manipadam
1   Department of GI surgery and liver transplantation, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India
,
Chokkappu S. Kumar
1   Department of GI surgery and liver transplantation, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India
,
Rajesh Antony
2   Department of Radiology, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India
,
Abhishek Yadav
3   Department of Liver Transplantation, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India
,
H. Ramesh
1   Department of GI surgery and liver transplantation, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

Abstract

Chylothorax due to inadvertent thoracic duct injury after esophagectomy is a well-known complication and requires careful postoperative management and timely intervention to prevent potential morbidity and mortality. We present a case of high-output chylothorax after esophagectomy where the source of chyle leak was not in the thorax.

Keywords

chylothorax - esophagectomy - chyle


Publikationsverlauf

Eingereicht: 03. März 2020

Angenommen: 04. Mai 2020

Artikel online veröffentlicht:
10. September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

  • References

  • 1 Mishra PK, Saluja SS, Ramaswamy D, Bains SS, Haque PD. Thoracic duct injury following esophagectomy in carcinoma of the esophagus: ligation by the abdominal approach. World J Surg 2013; 37 (01) 141-146
    CrossrefPubMedGoogle Scholar
  • 2 Miao L, Zhang Y, Hu H. , et al. Incidence and management of chylothorax after esophagectomy. Thorac Cancer 2015; 6 (03) 354-358
    CrossrefPubMedGoogle Scholar
  • 3 Javed A, Manipadam JM, Jain A, Kalayarasan R, Uppal R, Agarwal AK. Minimally invasive oesophagectomy in prone versus lateral decubitus position: A comparative study. J Minim Access Surg 2016; 12 (01) 10-15
    CrossrefPubMedGoogle Scholar
  • 4 Crucitti P, Mangiameli G, Petitti T. , et al. Does prophylactic ligation of the thoracic duct reduce chylothorax rates in patients undergoing oesophagectomy? A systematic review and meta-analysis. Eur J Cardiothorac Surg 2016; 50 (06) 1019-1024
    CrossrefPubMedGoogle Scholar
  • 5 Schurink B, Defize IL, Mazza E. , et al. Two-field lymphadenectomy during esophagectomy: the presence of thoracic duct lymph nodes. Ann Thorac Surg 2018; 106 (02) 435-439
    CrossrefPubMedGoogle Scholar
  • 6 Lambertz R, Chang DH, Hickethier T. , et al. Ultrasound-guided lymphangiography and interventional embolization of chylous leaks following esophagectomy. Innov Surg Sci 2019; 4 (03) 85-90
    PubMedGoogle Scholar