WebThe anomalous location of the terminal arch of the thoracic duct in this patient contributed to the complication. The morbidity of chyle leakage is minimized by its early recognition, a thorough understanding of lymphatic system anatomy, and aggressive management of the thoracic duct injury. WebChylothorax is often a result of thoracic duct injury, which is an infrequent complication of esophageal surgery [1,2,3].Although many cases are successfully treated conservatively, a high-output leak that persists longer than 5 days should be considered for surgical repair [].The mortality of repair through a thoracotomy can be as high as 25% [1, 2].
Chylothorax after cardiac resynchronization therapy-pacemaker ...
WebMar 4, 2024 · Treatment is primarily conservative, based on a low-fat diet or parenteral nutrition and adequate chest drainage. If the conservative management fails, a surgical duct ligation via thoracotomy, or more conveniently thoracoscopic approach, is necessary. The presented case reports describe the surgical treatment of isolated injury of the thoracic ... WebAug 1, 2003 · The principles of management include: (i) pleural drainage with appropriate fluid and nutritional replacement; (ii) measures to reduce the production of chyle; (iii) treatment of the underlying cause; and (iv) obliteration of the pleural space or ligation of a demonstrated thoracic duct leak. 18 Conservative therapy is usually tried first for 2–3 … barkley lake duck hunting
A conservative approach to a thoracic duct injury caused by left ...
WebApr 2, 2014 · Brysczynski J, Barrett T, Lyon J, et al. Management of penetrating neck injury in the emergency department: A structured literature review. Emerg Med J . 2008;25(11):711—715. WebBackground. The thoracic duct is the largest lymphatic duct in body, that carries 1 to 2 L of chyle per day from 75% of the body area.1 Chylothorax is defined as the leakage of chyle into the pleural cavity. Leakage of chyle is generally secondary to chest trauma either blunt or penetrating, and iatrogenic thoracic duct injury during thoracic or neck surgery.2 … WebMar 12, 2024 · As fluid accumulates, shortness of breath is usually the most common symptom. As the effusion grows, people may also develop a cough and chest pain. A fever is usually absent. 1 . When a chylothorax occurs due to trauma or surgery, symptoms usually begin about a week after the accident or procedure. 4 . barkley parent training adhd