Intervention lymphatic leakage after esophageal surgery due to esophageal cancer: A case report.

Autor: Hung DD; Vice-Rector of University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam., Dung LT; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam., Truong NX; Department of Radiology, Bac Giang Province General Hospital, Vietnam., Van Sy T; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam., Hanh LM; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam., Loc TQ; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2024 Sep 16; Vol. 19 (12), pp. 5888-5892. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI: 10.1016/j.radcr.2024.08.044
Abstrakt: Chylothorax after esophageal surgery is a rare complication but can lead to death in patients due to malnutrition, fluid imbalance, and immunodeficiency. Multiple treatment options exist for postoperative chylothorax, including conservative treatment, octreotide therapy, and interventions such as thoracic duct embolization and surgical ligation of the thoracic duct. We present a case of lymphatic leakage following laparoscopic esophagectomy for esophageal cancer, confirmed by lymphangiography. The patient underwent an intervention to embolize the thoracic duct under computed tomography after an initial failure under digital subtraction angiography (DSA). One week after the intervention, the patient's pleural fluid output gradually decreased, and the patient was discharged from the hospital. At a 7-month follow-up, the patient remained stable with no recurrence of lymphatic leakage.
(© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE