Isolated thoracic duct injury in penetrating neck trauma: a case report.
A 39-year-old man was admitted with a stab wound to left lower neck. Chest X-ray revealed a left hydropneumothorax. Thoracentesis was performed and analysis of the fluid revealed chyle. Patient was treated conservatively by closed chest drainage and total parenteral nutrition. On the basis of this clinical report and review of the literature, it is concluded that thoracic duct injury should be kept in mind in penetrating neck trauma and conservative treatment should be the first line therapy.
Eren
Sevval
S
Department of Thoracic Surgery, Medicine Faculty of Dicle University, Diyarbakir, Turkey. sevval@dicle.edu.tr
Cakir
Omer
O
Güloğlu
Cahfer
C
Eren
M Nesimi
MN
D000328:Adult; D002916:Chylothorax / Q000209:etiology*; D003937:Diagnosis, Differential; D004638:Emergency Treatment; D006801:Humans; D006872:Hydropneumothorax / Q000209:etiology*; D008297:Male; D019838:Neck Injuries / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D013897:Thoracic Duct / Q000293:injuries*; D014951:Wounds, Stab / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery