Successful Management of Chyle Leakage Using Thoracic Duct Embolization: A Case Report

• 영문명: Successful Management of Chyle Leakage Using Thoracic Duct Embolization: A Case Report
• 발행기관: 대한내분비외과학회
• 저자명: Ju Hyeon Yi Ho Jung Jeong Jin Seok Lee Hyeok Jun Yun Yong Sang Lee Hang-Seok Chang
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』24권1호, 9~13쪽, 전체 5쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2024.03.30

영문 초록

Chyle leakage (CL) is a rare complication of thyroidectomy. Most patients respond to conservative management, whereas some require surgical intervention. In this report, we discuss the case of a 67-year-old male patient diagnosed with papillary thyroid cancer, who underwent bilateral total thyroidectomy with central compartment neck dissection and left lateral neck dissection. Five days after surgery, the patient developed neck swelling. Despite conservative management with daily aspiration, there was no improvement and dyspnea recurred. Thoracic duct embolization (TDE) was performed by lymphangiography. Consequently, the CL improved. There are various treatments, ranging from conservative treatment to surgical treatment, but there is no consensus on the appropriate management of CL. The patient received only conservative treatment for the low-output chyle leak; however, there was no response. TDE has been reported to have a high success rate for treating CL. TDE is an effective nonsurgical intervention for CL after thyroid surgery.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

REFERENCES

키워드

Chyle Thoracic duct Lymphography Thyroidectomy Neck dissection