On the left side the thoracic duct can be injured following a stab or a puncture injury to the root of the neck. Although largely fatal, the survivors of such penetrating injuries to the left subclavian triangle may sustain laceration or division of the thoracic duct in addition to more important and more dramatic soft tissue injuries. The structures at risk are the subclavian artery, internal jugualr vein (IJV), common carotid artery (CCA), roots of the brachial plexus, cervical dome of pleura and so on. Thoracic duct is much more commonly injured in the thorax (see Fig. 21.1).
KeywordsCholesterol Carbohydrate Electrophoresis Penicillin Triglyceride
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