Thoracic duct embolization via chest tube for a patient with postoperative traumatic chylothorax

Can J Surg. 2021 Dec 1;64(6):E650-E653. doi: 10.1503/cjs.022119. Print 2021 Nov-Dec.

Abstract

We present the case of a 53-year-old man who experienced a postoperative chyle leak after minimally invasive esophagectomy with mass ligation of the thoracic duct; conservative management failed. Interventional radiology was unsuccessful initially in accessing the cisterna chyli with conventional methods, yet ethiodized oil was noted at the tip of his right chest tube. The chest tube and its tract were used as an avenue to access the thoracic duct and successfully facilitate its embolization.

Publication types

  • Case Reports

MeSH terms

  • Chest Tubes*
  • Chylothorax* / therapy
  • Embolization, Therapeutic / methods*
  • Humans
  • Ligation
  • Male
  • Middle Aged
  • Postoperative Complications / therapy*
  • Thoracic Duct / surgery*
  • Thoracic Injuries