Thoracic duct stent treatment for chyle leak after nephrectomy.

Autor:	Hoan L; Respiratory Department, Hanoi Medical University, Hanoi, Viet Nam., Cuong NN; Radiology Center, Hanoi Medical University Hospital, Hanoi, Viet Nam., My TTT; Radiology Center, Hanoi Medical University Hospital, Hanoi, Viet Nam., Luu DT; Radiology Center, Hanoi Medical University Hospital, Hanoi, Viet Nam., Long H; Surgery Department, Hanoi Medical University, Hanoi, Viet Nam., Hoa TQ; Surgery Department, Hanoi Medical University, Hanoi, Viet Nam., Hoang N; Surgery Department, Hanoi Medical University, Hanoi, Viet Nam., Hoan NC; Outpatient Department, Hanoi Medical University Hospital, Hanoi, Viet Nam.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2023 Jun 30; Vol. 18 (9), pp. 3199-3202. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023).
DOI:	10.1016/j.radcr.2023.06.048
Abstrakt:	Chyle leak is a rare and serious condition caused by damaged lymphatic vessels. It can occur after retroperitoneal surgery involving extensive lymphadenectomy for kidney cancer. Besides lymphatic channel damage, the obstruction of the thoracic duct worsens the leakage. Managing patients with thoracic duct obstruction and postsurgical chyle leakage is challenging due to limited data on how to handle this condition. In this case report, a 28-year-old female patient underwent left nephrectomy for left kidney cancer. Three days after the surgery, milky fluid drained from the left renal fossa. Conservative treatment failed, and further examination through magnetic resonance lymphangiography revealed the absence of the thoracic duct and contrast extravasation at the left renal fossa. Lymphangiography confirmed distal thoracic duct obstruction. The patient's condition was successfully managed by using thoracic duct stenting. This report contributes to the understanding that thoracic duct obstruction can lead to lymphatic collateral circulation within the abdomen, thereby increasing the risk of postoperative chylous leak. (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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