Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer

Journal of Cardiothoracic Surgery

Luigi Bonavina¹  Daniele Bernardi¹  Iris S Russo¹  Matteo Rottoli¹ 

[1] University of Milano, Department of Surgery, IRCCS Policlinico San Donato, Piazza E. Malan 2, San Donato Milanese (Milano), Italy

关键词: transhiatal approach;    cardiac tamponade;    chylotorax;    cisterna chyli;    thoracic duct;    Esophagectomy;   

Others  :  1153487
DOI  :  10.1186/1749-8090-7-9

 received in 2011-12-08, accepted in 2012-01-24,  发布年份 2012

【 摘 要 】

Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postoperative course the patient presented recurrent episodes of hemodynamic instability mimicking cardiac tamponade, secondary to compression of the left pulmonary vein and the left atrium by a mediastinal chylocele. Mediastinal drainage and ligation of the cisterna chyli and the thoracic duct was successfully performed through a transhiatal approach.

【 授权许可】

   
2012 Rottoli et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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