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Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer
Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postop...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3277471/ https://www.ncbi.nlm.nih.gov/pubmed/22273581 http://dx.doi.org/10.1186/1749-8090-7-9 |
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author | Rottoli, Matteo Russo, Iris S Bernardi, Daniele Bonavina, Luigi |
author_facet | Rottoli, Matteo Russo, Iris S Bernardi, Daniele Bonavina, Luigi |
author_sort | Rottoli, Matteo |
collection | PubMed |
description | Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postoperative course the patient presented recurrent episodes of hemodynamic instability mimicking cardiac tamponade, secondary to compression of the left pulmonary vein and the left atrium by a mediastinal chylocele. Mediastinal drainage and ligation of the cisterna chyli and the thoracic duct was successfully performed through a transhiatal approach. |
format | Online Article Text |
id | pubmed-3277471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32774712012-02-11 Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer Rottoli, Matteo Russo, Iris S Bernardi, Daniele Bonavina, Luigi J Cardiothorac Surg Case Report Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postoperative course the patient presented recurrent episodes of hemodynamic instability mimicking cardiac tamponade, secondary to compression of the left pulmonary vein and the left atrium by a mediastinal chylocele. Mediastinal drainage and ligation of the cisterna chyli and the thoracic duct was successfully performed through a transhiatal approach. BioMed Central 2012-01-24 /pmc/articles/PMC3277471/ /pubmed/22273581 http://dx.doi.org/10.1186/1749-8090-7-9 Text en Copyright ©2012 Rottoli et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Rottoli, Matteo Russo, Iris S Bernardi, Daniele Bonavina, Luigi Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title | Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title_full | Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title_fullStr | Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title_full_unstemmed | Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title_short | Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
title_sort | atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3277471/ https://www.ncbi.nlm.nih.gov/pubmed/22273581 http://dx.doi.org/10.1186/1749-8090-7-9 |
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