Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report
A 56-year-old female patient, with no significant comorbidities, presented with abnormal breast exam findings. Imaging revealed a 5.4-cm irregular nodule in the left breast, diagnosed as invasive breast carcinoma (NST, Grade 2). Neoadjuvant chemotherapy was initiated, leading to a reduction in lesio...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/carm/9720159 |
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| author | Michelle Albano Ferreira Juliana Oliveira Costa Juliana Lopes de Aguiar Araújo Kleyton Santos de Medeiros Larissa dos Santos Lourenço Ferreira Ubiratan Wagner de Sousa Macerly Layse de Menezes Dantas Diana Taissa Sampaio Marinho Navarro |
| author_facet | Michelle Albano Ferreira Juliana Oliveira Costa Juliana Lopes de Aguiar Araújo Kleyton Santos de Medeiros Larissa dos Santos Lourenço Ferreira Ubiratan Wagner de Sousa Macerly Layse de Menezes Dantas Diana Taissa Sampaio Marinho Navarro |
| author_sort | Michelle Albano Ferreira |
| collection | DOAJ |
| description | A 56-year-old female patient, with no significant comorbidities, presented with abnormal breast exam findings. Imaging revealed a 5.4-cm irregular nodule in the left breast, diagnosed as invasive breast carcinoma (NST, Grade 2). Neoadjuvant chemotherapy was initiated, leading to a reduction in lesion size. Surgical intervention included quadrantectomy, sentinel lymph node biopsy, and axillary lymphadenectomy, which revealed residual carcinoma and positive lymph nodes. Postoperatively, chylous drainage through a Portovac drain was observed, prompting reoperation, during which the injured lymphatic duct was identified. Conservative management with medium-chain triglycerides resulted in a progressive reduction of drainage. The patient was discharged on the 13th postoperative day, subsequently underwent adjuvant radiotherapy, and is currently receiving regular outpatient follow-up. |
| format | Article |
| id | doaj-art-687c3eb1c5fe4e6fbc0b703989fa186f |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-687c3eb1c5fe4e6fbc0b703989fa186f2025-08-20T04:02:18ZengWileyCase Reports in Medicine1687-96352025-01-01202510.1155/carm/9720159Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case ReportMichelle Albano Ferreira0Juliana Oliveira Costa1Juliana Lopes de Aguiar Araújo2Kleyton Santos de Medeiros3Larissa dos Santos Lourenço Ferreira4Ubiratan Wagner de Sousa5Macerly Layse de Menezes Dantas6Diana Taissa Sampaio Marinho Navarro7Department of MastologyDepartment of MedicineDepartment of MastologyInstitute of Education, Research and InnovationDepartment of MastologyDepartment of MastologyDepartment of MastologyDepartment of MastologyA 56-year-old female patient, with no significant comorbidities, presented with abnormal breast exam findings. Imaging revealed a 5.4-cm irregular nodule in the left breast, diagnosed as invasive breast carcinoma (NST, Grade 2). Neoadjuvant chemotherapy was initiated, leading to a reduction in lesion size. Surgical intervention included quadrantectomy, sentinel lymph node biopsy, and axillary lymphadenectomy, which revealed residual carcinoma and positive lymph nodes. Postoperatively, chylous drainage through a Portovac drain was observed, prompting reoperation, during which the injured lymphatic duct was identified. Conservative management with medium-chain triglycerides resulted in a progressive reduction of drainage. The patient was discharged on the 13th postoperative day, subsequently underwent adjuvant radiotherapy, and is currently receiving regular outpatient follow-up.http://dx.doi.org/10.1155/carm/9720159 |
| spellingShingle | Michelle Albano Ferreira Juliana Oliveira Costa Juliana Lopes de Aguiar Araújo Kleyton Santos de Medeiros Larissa dos Santos Lourenço Ferreira Ubiratan Wagner de Sousa Macerly Layse de Menezes Dantas Diana Taissa Sampaio Marinho Navarro Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report Case Reports in Medicine |
| title | Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report |
| title_full | Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report |
| title_fullStr | Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report |
| title_full_unstemmed | Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report |
| title_short | Thoracic Duct Injury in a Patient Undergoing Axillary Lymphadenectomy: A Case Report |
| title_sort | thoracic duct injury in a patient undergoing axillary lymphadenectomy a case report |
| url | http://dx.doi.org/10.1155/carm/9720159 |
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