title: [Spontaneous occlusion of a thoracic duct fistula following leftsided shoulder girdle amputation].
abstract: Reference is made to the anatomy and variant courses of the thoracic duct, as well as to possibilities of surgical and conservative therapy. A chylous fistula developed in a 53-year old man after his left shoulder girdle had been amputated because of a recurrent low grade chondrosarcoma. Nineteen liters of chyle were excreted over a 5-week period. It was possible to achieve a spontaneous occlusion of the fistula by means of repeated punctures, compression bandages, and a low-fat diet.
mesh_terms: D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000601:surgery*; D002813:Chondrosarcoma / Q000601:surgery*; D002913:Chyle; D005402:Fistula / Q000628:therapy*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy; D012785:Shoulder Joint / Q000601:surgery; D013897:Thoracic Duct
vernacular_title: Spontanverschluss einer Ductus-thoracicus Fistel nach linksseitiger Schultergürtel-Amputation.