| Autor: |
Patrick B. Curtin, Benjamin J. Mitchell, Robert R. Hall, III, Michael P. Stauff |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Orthopaedic Reports, Vol 2, Iss 1, Pp 100121- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2773-157X |
| DOI: |
10.1016/j.jorep.2022.100121 |
| Popis: |
Purpose: To describe the rare complication of traumatic thoracic duct injury associated significant thoracic spine fractures and describe treatment when conservative treatment is refractory. Results: A 27-year-old male was admitted to the hospital after a motorcycle collision with a three-column extension injury of spinal levels T9-10 and a traumatic thoracic duct injury that was clinically detected on hospital day 9. This case reports documents successful management of a traumatic chylothorax via thoracic duct embolization. Thoracic duct injury is a rare sequela of vertebral fractures. Drainage and observation is considered first line treatment of a chylothorax. However, surgery is indicated if leakage persists after parenteral feeding and a strict non-fat diet for 5–7 days. This case represents a unique instance where a traumatic spine injury was seen in association with thoracic duct injury and chylothorax. Conclusions: Traumatic thoracic duct injury can occur with significant thoracic spine injuries. Being aware of this potential concomitant injury will prevent a delayed or missed diagnosis. Despite literature that shows that this can be managed conservatively, there are circumstances such as our case where treatment is refractory to non-procedural management. Our case is unique in its description of management in regards to minimally invasive approach to traumatic thoracic duct injury in the context of a spinal fracture. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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