Compartimentalization for chylothorax originating from the abdomen after extended esophagectomy. Report of two cases and review of the literature.
BACKGROUND
Chyle leakage from the chest after extended esophagectomy originating from the abdomen is a rare complication with various clinical presentations and treatments.


METHODS
Two cases of chylothorax originating from the abdomen are discussed and the literature concerning diagnosis, management and outcome is reviewed.


CONCLUSIONS
Initially conservative measures should be installed; however, prolonged conservative treatment should be avoided. Reoperation gives an opportunity to identify the leak. If the leakage originates from the abdomen, compartimentalization is the essential step to solve the problem.
Omloo
J M T
JM
Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands. j.m.omloo@amc.uva.nl
Lagarde
S M
SM
Vrouenraets
B C
BC
Busch
O R C
OR
van Lanschot
J J B
JJ
D000005:Abdomen; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002916:Chylothorax / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D006801:Humans; D008197:Lymph Node Excision; D042601:Lymphatic Vessels / Q000293:injuries; D008297:Male; D008482:Mediastinum; D008875:Middle Aged