title: Lymphovenous anastomosis for recurrent swelling syndrome and chylous effusion due to cervical thoracic duct cyst.
abstract: Thoracic duct (TD) cyst is an uncommon abnormality that can be manifested as a cervical swelling. Pathogenesis includes congenital or degenerative weakness of the wall of the TD and obstruction of the lymphoid flow. Diagnosis is crucial to eliminate malignant disease or vein thrombosis and can be established by imaging and needle aspiration. We report a case of recurrent cervical swelling with spontaneous chylothorax and chyloperitoneum. A TD cyst with a terminal obstruction of the TD was diagnosed on lymphangiography. Treatment by microsurgical lymphovenous anastomosis was successful, and the patient was free of symptom 3 years later.
authors.affiliation: Service de Chirurgie Thoracique, Centre Jean Perrin, Clermont-Ferrand, France; Laboratoire d'Anatomie, Clermont Université, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Veziant
authors.affiliation: Laboratoire d'Anatomie, Clermont Université, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Sakka
authors.affiliation: Service de Chirurgie Thoracique, Centre Jean Perrin, Clermont-Ferrand, France; Laboratoire d'Anatomie, Clermont Université, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: Géraud
authors.initials: G
authors.lastname: Galvaing
authors.affiliation: Service de Chirurgie Thoracique, Centre Jean Perrin, Clermont-Ferrand, France.
authors.forename: Marie M
authors.initials: MM
authors.lastname: Tardy
authors.affiliation: Service de Radiologie, CHU Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: Lucie
authors.initials: L
authors.lastname: Cassagnes
authors.affiliation: Service de Chirurgie Thoracique, Centre Jean Perrin, Clermont-Ferrand, France; Laboratoire d'Anatomie, Clermont Université, Université d'Auvergne, Clermont-Ferrand, France; Unité de Nutrition Humaine, Clermont Université, Université d'Auvergne, Clermont-Ferrand, France. Electronic address: marc.filaire@cjp.fr.
authors.forename: Marc
authors.initials: M
authors.lastname: Filaire
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000209:etiology; D002915:Chylous Ascites / Q000209:etiology; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery; D008210:Lymphocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008220:Lymphography; D009333:Neck; D013897:Thoracic Duct