title: Bilateral chylothorax following neck dissection.
abstract: BACKGROUND
  Bilateral chylothorax, as a complication of neck dissection, is extremely rare, and was first described in 1907. Ten cases are reported in the literature.
  
  
  METHODS
  This presentation illustrates an additional case of bilateral chylothorax occurring after neck dissection. Anatomic and physiologic considerations are presented and possible mechanisms of pathogenesis are discussed.
  
  
  RESULTS
  Chylothorax has two major complications: respiratory and metabolic. The modern concepts of treatment are summarized.
  
  
  CONCLUSIONS
  After neck dissection, the clinician should suspect chylothorax if the patient had respiratory embarrassment and an abnormal chest x-ray postoperatively.
authors.affiliation: Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
authors.forename: A S
authors.initials: AS
authors.lastname: Jabbar
authors.forename: A
authors.initials: A
authors.lastname: al-Abdulkareem
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000601:surgery; D002637:Chest Pain / Q000209:etiology; D002916:Chylothorax / Q000209:etiology*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000209:etiology; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy