ISSN 2564-7784 | E-ISSN 2564-7040
Case Report
Treatment of High-Output Thorasic Chyle Fistula with Transabdominal Embolization of Cisterna Chyli; A Case Report And Review of the Literature
1 Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital İzmir, Turkey  
2 Department of Radiology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2018.347
Key Words: Chyle fistula, embolization, lymphangiography, surgery, esophagus
Abstract

 

Postoperative thorasic chylous fistula is an infrequent complication after esophageal surgery that represents a difficult management problem due to the serious mechanical, nutritional and immunological consequences of the constant loss of protein and lymphocytes. A 55-year-old woman sequentially developed a high-output (2500 ml/day) thorasic chylous fistula and right-sided chylothorax, after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. Here in, we discussed the case and treatment modalities in view of the literature. Multimodal procedures including low-triglyceride diet, sclerosing agens, repeated thoracentesis, and closed thoracostomy tube drainage had been applied for treatment within two months after surgery. Finally, embolization of the cisterna chyli with liquid embolic agents produced rapid clinical and radiographic improvement. The procedure of opacification, catheterization, and embolization of the cisterna chyli was successful. Percutaneous transabdominal duct embolization is a safe, effective, and minimally invasive option for treating chylothorax.

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AVES | Copyright © 2018 European Journal of Therapeutics | Latest Update: 30.03.2018