CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S32-S33
DOI: 10.1055/s-0041-1730738
Abstract

Refractory Chyloma Posttotal Thyroidectomy: How to Manage

Hassan Mosa Ali Alshehri
King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
,
Mohammad Badran
King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
,
Amr Maged Elsaadany
King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
› Author Affiliations

Background: Thyroidectomy and neck lymph node dissection are a common neck endocrine surgery. Chyle leak is a rare but troublesome complication of cervical surgeries. Case Report: This is a case report of a patient who suffered from left side chyle leak (chyloma) after total thyroidectomy and bilateral neck dissection. The patient was managed initially conservatively in the form of continuous collection drainage and oral intake cessation then sclerotherapy, and finally definite management was with thoracic duct embolization. Results: Technically and clinically successful embolization of thoracic duct leak. One week after thoracic duct embolization, the neck swelling disappeared, drain catheter removed, and resume regular diet. Conclusion: Thoracic duct embolization is effective, and less invasive than surgical options for the management of thoracic duct injury.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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