Massive lymphatic leakage after lung cancer surgery via median sternotomy

Journal of Surgical Case Reports
Kentaro MinegishiShunsuke Endo

Abstract

We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymphatic leakage in the anterior and middle mediastinum. The Chylous leakage was resolved by LAG with lipiodol. Our findings suggest that variation of the thoracic duct should be evaluated by LAG when intractable chylothorax or chylomediastinum develops after anterior mediastinal surgery.

References

Nov 1, 1996·Clinical Cardiology·R ZaidensteinD Modai
Sep 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Juan José MaféJosé M Rodríguez Paniagua
Nov 26, 2008·The British Journal of Radiology·T MatsumotoT Nishimura
Jun 15, 2013·The Journal of Thoracic and Cardiovascular Surgery·Teruhisa TakuwaKanji Nagai
Nov 15, 2017·The Annals of Thoracic Surgery·Janani S ReisenauerShanda H Blackmon

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Citations

Mar 28, 2020·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Christof M SommerGoetz M Richter

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Methods Mentioned

BETA
dissection
biopsy
X-ray
coronary artery bypass

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