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Bilateral chylothorax following total thyroidectomy with neck lymph node dissection for thyroid cancer: a case report and literature review.
Front Oncol
January 2025
Department of Head and Neck Surgery, Gansu Provincial Cancer Hospital, Lanzhou, China.
Purpose: Investigating the diagnosis and treatment of bilateral Chylothorax after neck lymph node dissection for thyroid cancer.
Methods: The clinical data of a patient with bilateral chylothorax after neck lymph node dissection for thyroid cancer were retrospectively analyzed, and the relevant literature was reviewed.
Results: The patient underwent a total thyroidectomy and left neck lymph node dissection, with no evidence of lymph fluid leakage observed during the operation.
Fatal Superior Vena Cava Obstruction With High-Output Chylothorax in a Preterm Infant: A Complication of Central Venous Catheterization.
Cureus
October 2024
Pediatric Cardiology Department, Hospital de Santa Marta, Unidade Local de Saúde São José, Lisbon, PRT.
Chylothorax in the perinatal period may have congenital or acquired aetiologies. In premature infants, invasive procedures with thrombosis risk are common practice. We present a case of a 29-week gestation neonate, diagnosed on the 27th postnatal day with vegetation on the tip of the central venous catheter (CVC) and right auricle thrombosis, along with superior vena cava (SVC) syndrome, leading to significant bilateral chylothorax.
View Article and Find Full Text PDFBilateral chylothorax following papillary thyroid carcinoma with cervical lymph node dissection: Case report and comprehensive review of the literature.
Medicine (Baltimore)
November 2024
Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Rationale: This case analysis and literature review aim to identify the causes of bilateral chylothorax following thyroid cancer surgery, a rare yet serious complication.
Patient Concerns: We report 2 East Asian women who developed bilateral chylothorax after undergoing total thyroidectomy with neck lymph node dissection. Both patients presented with dyspnea and significant pleural effusion postoperatively.
Refractory bilateral chylothorax and chylous ascites in a patient with systemic lupus erythematosus treated by pleuro-peritoneal and peritoneal-venous shunts along with cell-free and concentrated ascites re-infusion therapy.
Respir Investig
November 2024
Division of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, Saga Prefecture, 849-8501, Japan.
Article Synopsis
- - A pleural effusion is a common issue for patients with systemic lupus erythematosus (SLE) and requires careful diagnosis for proper treatment.
- - The case discusses a rare occurrence of chylothorax in an SLE patient, which can be tough to manage despite strong immunosuppressive treatments, often leading to poor health and malnutrition due to frequent procedures.
- - To improve breathing and prevent malnutrition, treatments like pleuro-peritoneal and peritoneal-venous shunts, along with specialized therapies, may be useful.
A Rare Case of Right-Sided Chylothorax Following Thoracoscopic Sympathectomy Due to an Anomalous Thoracic Duct.
Cureus
September 2024
Department of Thoracic Surgery, Bauru Medical School, University of São Paulo, Bauru, BRA.
Article Synopsis
- Chylothorax is a rare complication following thoracoscopic sympathectomy, especially on the right side, but was observed in a case involving a 37-year-old woman who had surgery for axillary hyperhidrosis.
- Post-surgery, the patient experienced excessive drainage of milky fluid, which was confirmed as chylothorax through lab tests showing elevated triglyceride levels.
- An exploratory procedure revealed an anomalous thoracic duct on the right side, which was successfully treated, highlighting the importance of considering anatomical variations and potential complications in thoracic surgeries.
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