Combined chylous neck fistula, chylothorax and chyloperitoneum after transhiatal esophagectomy.
A 65-year-old man sequentially developed a chylous neck fistula, left-sided chylothorax, and chylous ascites after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. The pathophysiology of this unusual accumulation of chyle in three separate anatomic compartments is examined.
Tytgat
S H
SH
Department of Surgery, University of Amsterdam, The Netherlands.
Coene
P P
PP
Lemaire
I C
IC
Obertop
H
H
van Lanschot
J J
JJ
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D002913:Chyle; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002915:Chylous Ascites / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects* / Q000379:methods; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009333:Neck; D011183:Postoperative Complications; D012086:Reoperation; D014463:Ultrasonography