Bilateral chylothorax following neck dissection: a case report

BMC Research Notes

Christian Seiler¹  Daniel Candinas¹  Yves Borbély¹  Tina Runge¹ 

[1] Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern 3000, Switzerland

关键词: Bilateral chylothorax;    Neck dissection;    Thyroidectomy;   

Others  :  1132721
DOI  :  10.1186/1756-0500-7-311

 received in 2014-02-09, accepted in 2014-05-14,  发布年份 2014

【 摘 要 】

Background

Chylothorax is an extremely rare but potentially life-threatening complication after radical neck dissection. We report the case of a bilateral chylothorax after total thyroidectomy and cervico-central and cervico-lateral lymphadenectomy for thyroid carcinoma.

Case presentation

A 40-year-old European woman underwent total thyroidectomy and neck dissection for papillary thyroid carcinoma. Postoperatively she developed dyspnoea and pleural effusion. A chylothorax was found and the initial conservative therapy was not successful. She had to be operated on again and the thoracic duct was legated.

Conclusion

The case presentation reports a very rare complication after total thyroidectomy and neck dissection, but it has to be kept in mind to prevent dangerous complications.

【 授权许可】

   
2014 Runge et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Bae JS, Song BJ, Kim MR, Park WC, Kim JS, Jung SS: Bilateral chylothoraces without chyle leakage after left-sided neck dissection for thyroid cancer: report of two cases. Surg Today 2007, 37:652-655.
• [2]Kamasaki N, Ikeda H, Wang ZL, Narimatsu Y, Inokuchi T: Bilateral chylothorax following radical neck dissection. Int J Oral Maxillofac Surg 2003, 32:91-93.
• [3]Smoke A, Delegge MH: Chyle leaks: consensus on management? Nutr Clin Pract 2008, 23:529-532.
• [4]Al-Sebeih K, Sadeghi N, Al-Dhahri S: Bilateral chylothorax following neck dissection: a new method of treatment. Ann Otol Rhinol Laryngol 2001, 110:381-384.