Chylous-Related Complications Following Surgical Management of Clavicular Fractures: A Report of Two Cases.

JBJS Case Connect

Departments of Orthopaedics (C.D., M.D., and H.M.), and Radiology (D.O'N. and M.L.), Beaumont Hospital, Dublin, Ireland.

Published: November 2019

Case: We treated 2 patients with chylous-related complications following open reduction and internal fixation (ORIF) of the clavicle. These complications were of unknown etiology; 1 was treated with percutaneous injection of a sclerosing agent, while the other was treated with ligation of the thoracic duct.

Conclusion: A chyle leak is more commonly seen with upper gastrointestinal, thoracic, and head and neck surgery. This complication potentially carries a substantial rate of morbidity. We report the successful management of 2 patients with difficult postoperative chylous-related complications following ORIF of the clavicle.

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Source
http://dx.doi.org/10.2106/JBJS.CC.17.00260DOI Listing

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