잠시만 기다려 주세요. 로딩중입니다.

흉관색전술로 치료한 난치성 유미유출 1예

A Case Report on the Management of Intractable Chyle Leakage after Left Neck Level V Lymph Node Biopsy

대한이비인후과학회지-두경부외과학 2021년 64권 2호 p.124 ~ 128
류소미, 이병민, 원성준, 박정제,
소속 상세정보
류소미 ( Ryu So-Mi ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Otolaryngology
이병민 ( Lee Byeong-Min ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Otolaryngology
원성준 ( Won Seong-Jun ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Otolaryngology
박정제 ( Park Jung-Je ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Otolaryngology

Abstract


Chyle leakage from the neck, which usually occurs after iatrogenic injury of the thoracic orlymphatic duct, is an uncommon complication of head and neck surgeries, which include neckdissection or thyroidectomy. A small amount of chyle leakage can be treated with conservativeapproaches, such as nutritional limitation, somatostatin analogues, and wound compression.
However, massive or uncontrolled chyle leakage requires surgical exploration of thewound and thoracic duct ligation via the chest or transabdominal thoracic duct embolizationcan be applied. Here, we report a case of intractable massive chyle leakage in a 78-year-oldmale after a left neck level V lymph node biopsy, which was not controlled after conservativemanagement and explorative surgery. Various treatment approaches were attempted and successfulmanagement of chyle leakage was ultimately achieved by thoracic duct embolization.

키워드

Chyle leakage; Thoracic duct embolization

원문 및 링크아웃 정보

등재저널 정보