Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report
Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2019-12-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-019-0709-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849709946173652992 |
|---|---|
| author | Tomoyuki Ishida Jun Kanamori Hiroyuki Daiko |
| author_facet | Tomoyuki Ishida Jun Kanamori Hiroyuki Daiko |
| author_sort | Tomoyuki Ishida |
| collection | DOAJ |
| description | Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax. |
| format | Article |
| id | doaj-art-28445b590c17456384f55dd9ea98cc02 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-28445b590c17456384f55dd9ea98cc022025-08-20T03:15:05ZengJapan Surgical SocietySurgical Case Reports2198-77932019-12-01511510.1186/s40792-019-0709-3Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case reportTomoyuki Ishida0Jun Kanamori1Hiroyuki Daiko2Department of Esophageal Surgery, National Cancer Center HospitalDepartment of Esophageal Surgery, National Cancer Center HospitalDepartment of Esophageal Surgery, National Cancer Center HospitalAbstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.https://doi.org/10.1186/s40792-019-0709-3Thoracic ductChylothoraxOesophageal cancerVariation |
| spellingShingle | Tomoyuki Ishida Jun Kanamori Hiroyuki Daiko Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report Surgical Case Reports Thoracic duct Chylothorax Oesophageal cancer Variation |
| title | Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report |
| title_full | Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report |
| title_fullStr | Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report |
| title_full_unstemmed | Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report |
| title_short | Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report |
| title_sort | lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy a case report |
| topic | Thoracic duct Chylothorax Oesophageal cancer Variation |
| url | https://doi.org/10.1186/s40792-019-0709-3 |
| work_keys_str_mv | AT tomoyukiishida lymphangiographyandfocalpleurodesistreatmentofchylothoraxwithanaberrantthoracicductfollowingoesophagectomyacasereport AT junkanamori lymphangiographyandfocalpleurodesistreatmentofchylothoraxwithanaberrantthoracicductfollowingoesophagectomyacasereport AT hiroyukidaiko lymphangiographyandfocalpleurodesistreatmentofchylothoraxwithanaberrantthoracicductfollowingoesophagectomyacasereport |