Percutaneous Lipiodol Lymphangiogram in Chylous Leakage Successful Embolisation Post Mastectomy: A Case Report

@#Complication of chyle leakage is rare post mastectomy, ranging from 0.36 – 0.84%. This case report discuses a rare case of chylous leakage post mastectomy in a 79-year-old female. The complication was suspected when the draining colour of axillary drainage change from serous fluid to milky colour, diagnosis then confirmed clinically and biochemically as chyle. The patient was initially managed conservatively, but this was not successful and was referred to an interventional radiology for lymphangiogram and embolization. Percutaneous lipiodol embolization was performed with immediate success.

Chyle Leakage after Total Thyroidectomy and Central Neck Dissection: Report of Three Cases / 대한내분비외과학회지

Chyle leakage is a rare complication of surgery for thyroid cancer that generally develops after lateral neck dissection. Here, we describe chyle leakages experienced after central neck dissection (CND). A total of 615 patients with thyroid cancer were treated by total thyroidectomy with CND between Jan 2012 and Dec 2012 at our facility, and three (0.49%) developed chyle leakages. The amounts of leakage were all less than 100 ml/day. One patient was resolved with conservative management, while the others were treated with conservative treatment and fibrin glue injection in chylous lymphocele. Chyle leakage after CND is very uncommon, and most cases involve minor leakage. Fibrin glue could be a treatment option for chyle leakage following CND.

Picibanil Sclerotherapy for Intractable Chylous Leakage After Neck Dissection / 대한이비인후과학회지

undergo radical neck dissection. Subsequent chyle leakage can cause complications such as skin flap necrosis, orocutaneous fistula, electrolyte imbalance and protein loss. Chyle leakage is managed conservatively with total parenteral nutrition and mediumchain triglyceride diet or is treated surgically with leakage site ligation or thoracic duct ligation. Sclerotherapy can be one of the treatment options and tetracycline and povidone-iodine have been reported to be used as sclerosing agents. However, Picibanil sclerotheray for post-neck dissection chyle leakage has not been reported. This paper presents our experience in the management of a intractable chyle leakage which was irresponsive to conservative management and thoracic duct ligation, by successfully employing Picibanil.

A Case of Spontaneous Chyle Leakage Presenting as Supraclavicular Swelling / 대한이비인후과학회지

A chyle leakage occurs due to injuries m the thoracic duct or the accessory lymphatic channels in the neck or the upper chest. The most common causes of chyle leakages are trauma and neoplasm, and spontaneous chyle leakages are infrequently en- countered. There are few cases of spontaneous chyle leakage reported in the literature. Recently, we experienced a case of spontaneous chyle leakage presenting as supraclavicular swelling following severe coughing. We report this case with a review of literature.