Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine.
The development of postoperative leaks of the thoracic duct after neck dissection or vascular surgery of the subclavian and vertebral artery is a well-known but rare complication. Usually, an injury of the duct manifests immediately after the operation with chylous drainage. Presentation as a postoperative lymphocele is rare. Operative treatment may be an option, but identification of the leak often is impossible, resulting in a high rate of failure. Percutaneous catheter drainage in combination with sclerosis with povidone-iodine has proved to be highly effective in obliterating pelvic lymphoceles but has not been reported in patients who have undergone vascular surgery in the neck. We present a case in which a povidone-iodine solution was used successfully in percutaneous sclerosis of a cervical lymphocele after transposition of the left subclavian artery to the left common carotid artery.
Seelig
M H
MH
Department of Surgery, Mayo Clinic Jacksonville, FL 32224, USA.
Klingler
P J
PJ
Oldenburg
W A
WA
D000368:Aged; D002913:Chyle; D006801:Humans; D008210:Lymphocele / Q000628:therapy*; D008297:Male; D009333:Neck; D011183:Postoperative Complications / Q000628:therapy*; D011206:Povidone-Iodine / Q000008:administration & dosage*; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D015911:Sclerotherapy / Q000379:methods*
D012597:Sclerosing Solutions; D011206:Povidone-Iodine