Severe hypo-osmotic hyponatraemia due to chylous leak following radical neck dissection
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2013; 23 (3): 221-223
in English
| IMEMR
| ID: emr-140535
ABSTRACT
Chylous leak is a documented complication of radical neck dissection with well recognised morbidities, including wound breakdown, hypovolaemia and hypoalbuminaemia. Other less well-documented electrolyte imbalances can also ensue. We aim to raise awareness about hypo-osmotic hyponatraemia as a potentially fatal, commonly overlooked complication of high-output chylous leaks. Following identification of his hyponatraemia, this patient underwent successful management in the intensive therapy unit, followed by surgical repair of his chylous leak. Hypo-osmotic hyponatraemia as a complication of chylous leak is not well documented, is likely to be overlooked when present, and is potentially life-threatening. It should be sought after in any patient with a high-output chylous leak following neck dissection
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Osmolar Concentration
/
Neck Dissection
/
Chyle
Type of study:
Case report
Limits:
Humans
/
Male
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2013
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