Massive lymphatic leakage after lung cancer surgery via median sternotomy

We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymp...

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Detalles Bibliográficos
Autores principales: Minegishi, Kentaro, Tsubochi, Hiroyoshi, Hamamoto, Kohei, Endo, Shunsuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667986/
https://www.ncbi.nlm.nih.gov/pubmed/31384424
http://dx.doi.org/10.1093/jscr/rjz178
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author Minegishi, Kentaro
Tsubochi, Hiroyoshi
Hamamoto, Kohei
Endo, Shunsuke
author_facet Minegishi, Kentaro
Tsubochi, Hiroyoshi
Hamamoto, Kohei
Endo, Shunsuke
author_sort Minegishi, Kentaro
collection PubMed
description We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymphatic leakage in the anterior and middle mediastinum. The Chylous leakage was resolved by LAG with lipiodol. Our findings suggest that variation of the thoracic duct should be evaluated by LAG when intractable chylothorax or chylomediastinum develops after anterior mediastinal surgery.
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spelling pubmed-66679862019-08-05 Massive lymphatic leakage after lung cancer surgery via median sternotomy Minegishi, Kentaro Tsubochi, Hiroyoshi Hamamoto, Kohei Endo, Shunsuke J Surg Case Rep Case Report We report a case of intractable chylothorax after right upper lobectomy and nodal dissection via median sternotomy for lung cancer in a 67-year-old man. Lymphangiography (LAG) with lipiodol and sequential computed tomography showed the thoracic duct in the left posterior mediastinum and massive lymphatic leakage in the anterior and middle mediastinum. The Chylous leakage was resolved by LAG with lipiodol. Our findings suggest that variation of the thoracic duct should be evaluated by LAG when intractable chylothorax or chylomediastinum develops after anterior mediastinal surgery. Oxford University Press 2019-07-31 /pmc/articles/PMC6667986/ /pubmed/31384424 http://dx.doi.org/10.1093/jscr/rjz178 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Minegishi, Kentaro
Tsubochi, Hiroyoshi
Hamamoto, Kohei
Endo, Shunsuke
Massive lymphatic leakage after lung cancer surgery via median sternotomy
title Massive lymphatic leakage after lung cancer surgery via median sternotomy
title_full Massive lymphatic leakage after lung cancer surgery via median sternotomy
title_fullStr Massive lymphatic leakage after lung cancer surgery via median sternotomy
title_full_unstemmed Massive lymphatic leakage after lung cancer surgery via median sternotomy
title_short Massive lymphatic leakage after lung cancer surgery via median sternotomy
title_sort massive lymphatic leakage after lung cancer surgery via median sternotomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667986/
https://www.ncbi.nlm.nih.gov/pubmed/31384424
http://dx.doi.org/10.1093/jscr/rjz178
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