title: Localization of thoracic duct using heavily T2W MRI for intractable post-esophagectomy chylothorax-a case report.
abstract: Post-esophagectomy chylothorax is a rare yet serious complication. Herein we report the case of a patient with intractable post-esophagectomy chylothorax despite medical treatment with total parenteral nutrition and octreotide, as well as prophylactic and repeated thoracic duct mass ligation. The patient was eventually treated with localization of thoracic duct using T2-weighted magnetic resonance imaging (T2W MRI), followed by video-assisted thoracoscopic thoracic duct ligation.
authors.affiliation: Division of Thoracic Surgery, Tainan Municipal Hospital, Show Chwan Health Care System, Tainan, Taiwan.
authors.forename: Yi-Chien
authors.initials: YC
authors.lastname: Chang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Yen
authors.affiliation: Department of Nutrition, College of Medicine and Nursing, Hung Kuang University, Taichung, Taiwan.
authors.forename: Ming-Chung
authors.initials: MC
authors.lastname: Chang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
authors.forename: Yau-Lin
authors.initials: YL
authors.lastname: Tseng
keywords: Chylothorax; esophageal surgery; magnetic resonance cholangiopancreatography (MRCP); magnetic resonance imaging (MRI); thoracic duct embolization