Usefulness of lymphography and computed tomography for detecting the site of chyle leakage
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Chylothorax is a rare but serious complication following aortic surgery. Our patient was a 68-year-old man who underwent descending aortic replacement for a chronic dissected aortic aneurysm and in whom chylothorax postoperatively developed due to a thoracic duct injury. Although adequate medical treatment was immediately initiated at diagnosis, chyle leakage persisted. Lipiodol lymphography followed by computed tomography showed the accurate site of the leakage. Surgical repair was performed via a repeat thoracotomy with smaller incision. We were able to detect the laceration of the thoracic duct. The patient recovered and was uneventfully discharged.
KeywordsChylothorax Lymphography Thoracic surgery
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Conflict of interest
The authors declare that there is no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.