Chylous leakage after circumferential thoracolumbar fusion for correction of kyphosis resulting from fracture. Report of three cases

Spine
H NagaiT Nakamura

Abstract

A description of the clinical picture of chylous leakage after spinal surgery. To present the clinical course of three cases of chylous leakage after spinal surgery and to discuss the pathogenesis of the disease. Chylous leakage is a rare complication after spinal surgery. It has been attributed to direct injury of a lymphatic trunk or one of its major tributaries by surgical maneuver. Three cases of chylous leakage after circumferential thoracolumbar fusion for correction of kyphosis resulting from fracture were reported. All of the three cases were managed successfully; two cases of chyloretroperitoneum detected within 4 days after surgery were healed conservatively, but one case of chylothorax of which the onset was noticed 5 weeks after spinal surgery, required surgical ligation of the thoracic duct and pleurodesis. Early detection of this disease is important for a good prognosis. Retroperitoneal drainage is necessary for the detection and management of chyloretroperitoneum. The pathogenesis and management of the chylous leakage are discussed in this report.

References

May 1, 1977·The British Journal of Surgery·S Eisenstein, J P O'Brien
Mar 15, 1994·Spine·M M DeHartJ E Cain
Apr 9, 1964·The New England Journal of Medicine·S A HASHIMT B VANITALLIE

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Citations

Mar 18, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Omer AkcaliEmin Alici
Feb 3, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·I-Chang Su, Chang-Mu Chen
Aug 8, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lia AssumpcaoTimothy M Pawlik
Oct 31, 2001·The British Journal of Surgery·S A Wemyss-HoldenG J Maddern
Jan 15, 2004·Spine·Marius von KnochLeila Siahkamary
Nov 12, 2003·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Ilija TomićAleksandar Ristanović
Sep 18, 2012·Journal of Neurosurgery. Spine·Namath S HussainRod J Oskouian
Nov 6, 2007·Journal of Neurosurgery. Spine·Cheerag D UpadhyayaFrank La Marca
Apr 6, 2001·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R KaasF A Zoetmulder
Feb 1, 2015·Complementary Therapies in Medicine·Lijuan XiuPinkang Wei
May 11, 2004·Revue de pneumologie clinique·M Riquet, A Badia

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