ISSN 2564-7784 | E-ISSN 2564-7040
Case Report
Treatment of High-Output Thoracic Chylous Fistula with Transabdominal Embolization of Cisterna Chyli: A Case Report and Review of the Literature
1 Clinic of Surgery, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey  
2 Clinic of Radiology, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey  
Eur J Ther 2019; 25: 142-145
DOI: 10.5152/EurJTher.2018.347
Key Words: Chyle fistula, embolization, esophagus, lymphangiography, surgery
Abstract

 

Postoperative thoracic chylous fistula is an infrequent complication after esophageal surgery. It 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) thoracic chylous fistula and right-sided chylothorax, after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. In this study, we discuss the case and treatment modalities in view of the literature. Multimodal procedures including low-triglyceride diet, sclerosing agents, repeated thoracentesis, and closed thoracostomy tube drainage were 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 to treat chylous fistula.

 

How to cite: Dilek ON, Özşay O, Ballı Ö, Gücek Hacıyanlı S, Çakır V, Gür EÖ, et al. Treatment of High-Output Thoracic Chylous Fistula with Transabdominal Embolization of Cisterna Chyli: A Case Report and Review of the Literature. Eur J Ther 2019; 25(2): 142-5.

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