title: Isolated thoracic duct injury in penetrating neck trauma: a case report.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Medicine Faculty of Dicle University, Diyarbakir, Turkey. sevval@dicle.edu.tr
authors.forename: Sevval
authors.initials: S
authors.lastname: Eren
authors.forename: Omer
authors.initials: O
authors.lastname: Cakir
authors.forename: Cahfer
authors.initials: C
authors.lastname: Güloğlu
authors.forename: M Nesimi
authors.initials: MN
authors.lastname: Eren
mesh_terms: 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