Chyle fistula in right cervical area after thyroid surgery.
Thoracic duct injury is an infrequent (1-2.5%) but severe complication after neck surgery, leading to nutritional, metabolic and immunologic deficiencies. We report a case of a 34-year-old woman with a right thoracic duct injury after surgery of a thyroid medullar cancer effectively treated with conservative management (parenteral nutrition and intravenous somatostatin). Optimal treatment of these patients is unclear, without a clear limit between conservative and surgical treatment.
Priego Jiménez
Pablo
P
Department of General Surgery, Hospital Ramón y Cajal, Madrid, Spain. papriego@hotmail.com
Collado Guirao
Mariá Vicenta
MV
Rojo Blanco
Roberto
R
Grajal Marino
Raquel
R
Rodríguez Velasco
Gloria
G
García Villanueva
Augusto
A
D000328:Adult; D020295:Brain Stem Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D002913:Chyle; D013507:Endocrine Surgical Procedures / Q000009:adverse effects; D005260:Female; D005402:Fistula / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007275:Injections, Intravenous; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D037981:Neck Dissection / Q000009:adverse effects*; D013902:Radiography, Thoracic; D013004:Somatostatin / Q000627:therapeutic use; D013897:Thoracic Duct / Q000293:injuries* / Q000601:surgery; D013964:Thyroid Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D013004:Somatostatin
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