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Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report

Postoperative chylothorax occurs relatively rarely after pulmonary resections, often caused intraoperatively by injury to the thoracic duct. We describe a case of postoperative chylothorax after lung cancer surgery with an aberrant thoracic duct course. A 66-year-old man showed abnormal findings on...

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Autores principales: Nakamura, Daisuke, Toishi, Masayuki, Sakaizawa, Takao, Koike, Sachie, Nishimura, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560721/
https://www.ncbi.nlm.nih.gov/pubmed/34733476
http://dx.doi.org/10.1093/jscr/rjab490
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author Nakamura, Daisuke
Toishi, Masayuki
Sakaizawa, Takao
Koike, Sachie
Nishimura, Hideki
author_facet Nakamura, Daisuke
Toishi, Masayuki
Sakaizawa, Takao
Koike, Sachie
Nishimura, Hideki
author_sort Nakamura, Daisuke
collection PubMed
description Postoperative chylothorax occurs relatively rarely after pulmonary resections, often caused intraoperatively by injury to the thoracic duct. We describe a case of postoperative chylothorax after lung cancer surgery with an aberrant thoracic duct course. A 66-year-old man showed abnormal findings on chest computed tomography (CT) during health screening and was suspected with primary lung cancer. Then, he underwent a right upper lobectomy with mediastinal lymph-node dissection. The histopathological findings confirmed lung adenocarcinoma. However, the patient developed a postoperative chylothorax and underwent revision surgery. An abnormally running thoracic duct, which was expected to flow into the right venous angle, was found at the cranial side of the right superior mediastinal dissection area and was clipped. Considering the many variations in the route of the thoracic duct, thoracic surgeons should remain alert for postoperative chylothorax when performing lung cancer surgery with mediastinal lymph-node dissection and prepare treatment strategies accordingly.
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spelling pubmed-85607212021-11-02 Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report Nakamura, Daisuke Toishi, Masayuki Sakaizawa, Takao Koike, Sachie Nishimura, Hideki J Surg Case Rep Case Report Postoperative chylothorax occurs relatively rarely after pulmonary resections, often caused intraoperatively by injury to the thoracic duct. We describe a case of postoperative chylothorax after lung cancer surgery with an aberrant thoracic duct course. A 66-year-old man showed abnormal findings on chest computed tomography (CT) during health screening and was suspected with primary lung cancer. Then, he underwent a right upper lobectomy with mediastinal lymph-node dissection. The histopathological findings confirmed lung adenocarcinoma. However, the patient developed a postoperative chylothorax and underwent revision surgery. An abnormally running thoracic duct, which was expected to flow into the right venous angle, was found at the cranial side of the right superior mediastinal dissection area and was clipped. Considering the many variations in the route of the thoracic duct, thoracic surgeons should remain alert for postoperative chylothorax when performing lung cancer surgery with mediastinal lymph-node dissection and prepare treatment strategies accordingly. Oxford University Press 2021-10-31 /pmc/articles/PMC8560721/ /pubmed/34733476 http://dx.doi.org/10.1093/jscr/rjab490 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://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 (https://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
Nakamura, Daisuke
Toishi, Masayuki
Sakaizawa, Takao
Koike, Sachie
Nishimura, Hideki
Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title_full Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title_fullStr Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title_full_unstemmed Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title_short Postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
title_sort postoperative chylothorax following lung cancer surgery with an aberrant course of thoracic duct: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560721/
https://www.ncbi.nlm.nih.gov/pubmed/34733476
http://dx.doi.org/10.1093/jscr/rjab490
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