Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Thoracic duct injury after decortication of lung, new technique to repair thoracic duct in this challenging situation: A case report.

Authors:
Nandkishore Kapadia Saumya Sekhar Jenasamant Ganesh Sohan Singh Rawat Shailesh Kamkhedkar Pratik Shah Parnal Kapadia

Asian Cardiovasc Thorac Ann 2021 Jul 2;29(6):558-561. Epub 2021 Mar 2.

Internal Medicine, Chettinad Hospital and Research Institute, Kanchipuram, India.

Background: Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Very few patients respond to conservative line of therapy. Thoracic duct ligation is often the treatment of choice in post-surgical patients; however, the optimal treatment of this disease process after traumatic injury remains unclear. We present the case of a 46-year-old woman with thoracic duct injury secondary to decortication for post-pneumonic empyema. Conservative therapy and pleurodesis done twice failed. She developed severe cachexia losing 15 kg in 30 days. She was referred to our center for ligation of thoracic duct. Preoperative lymphangiography located the duct injury in upper part of mediastinum. Computerized tomography scan of chest showed collapse of left lower lobe and thickened left pleura, indicating a significant pericardial effusion. She underwent decortication of left lung, pericardial window, and native pericardial patch repair of thoracic duct. In this unusual and complex case, successful resolution of the chyle leak was achieved with new surgical technique of patch repair. The patient recovered well and was now on a normal diet. She has put on 12 kg in four months. We have avoided late complications of thoracic duct ligation by this technique. This nouvelle technique may be recommended as it is simple and effective. Ligation of thoracic duct carries late complications. Isolating right lung by double lumen tube may cause severe hypoxia as left-sided lung is not expanded as in this case.

Download full-text PDF

 Source
http://dx.doi.org/10.1177/0218492321997080DOI Listing
July 2021

Publication Analysis

Top Keywords

thoracic duct
32
duct injury
12
thoracic
8
ligation thoracic
8
patch repair
8
duct
8
late complications
8
repair thoracic
8
conservative therapy
8
duct ligation
8
lung pericardial
4
indicating pericardial
4
lobe thickened
4
thickened left
4
left pleura
4
pleura indicating
4
pericardial effusion
4
native pericardial
4
left lung
4
effusion underwent
4

Keyword Occurance

Similar Publications

Spontaneous contractions of the human thoracic duct-Important for securing lymphatic return during positive pressure ventilation?

Authors:
Benjamin Kelly Christopher L Smith Madhumitha Saravanan Yoav Dori Vibeke E Hjortdal

Physiol Rep 2022 May;10(10):e15258

Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark.

The thoracic duct is responsible for the circulatory return of most lymphatic fluid. The return is a well-timed synergy between the pressure in the thoracic duct, venous pressure at the thoracic duct outlet, and intrathoracic pressures during respiration. However, little is known about the forces determining thoracic duct pressure and how these respond to mechanical ventilation. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Systematic Literature Review of Lymphatic Imaging-Guided Procedural Management of Noonan Syndrome.

Authors:
Taylor Paul Cox Christopher James Vance Sarah K Daley Papendieck Cristobal Hugh McGregor Philip Kuo Marlys H Witte

J Vasc Surg Venous Lymphat Disord 2022 May 10. Epub 2022 May 10.

Department of Surgery, University of Arizona College of Medicine - Tucson. Electronic address:

Objective(s): To assess through literature case analysis how advances in lymphatic imaging, interventional radiology, and lymphatic vascular microsurgery illuminate and improve the lymphatic-flow status in select patients with Noonan Syndrome (NS) who have undergone surgical intervention as a part of their comprehensive and individualized treatment plan. Also, to illustrate the spectrum of lymphatic complications that can occur in this patient population when lymphatic flow through abnormal vasculature is surgically disrupted.

Methods: A literature review was performed by searching "Noonan AND Lymphatic AND Imaging" in the PubMed database. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Ultrasound findings of acute pancreatitis in children.

Authors:
Andrew T Trout Rupesh Patel Jaimie D Nathan Tom K Lin David S Vitale Alexander Nasr Bin Zhang Maisam Abu-El-Haija

Pediatr Radiol 2022 May 13. Epub 2022 May 13.

Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Background: Studies systematically documenting US findings in children with acute pancreatitis are limited. Pancreas duct dilation is described as the most reliable finding of acute pancreatitis but this has not been rigorously examined in children.

Objective: To systematically document US findings in children with acute pancreatitis and to define interobserver agreement on those findings. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Management of Chylothorax in Esophageal Surgery by Minimally Invasive Thoracoscopic Approach: Case Series.

Authors:
Mircea Gheorghe Florin Achim Petre Hoara Adrian Constantin Silviu Constantinoiu

Chirurgia (Bucur) 2022 Apr;117(2):230-236

Chylothorax is a rare complication, especially after esophageal cancer surgery. It may occur mainly in the thoracic stage of esophagectomy. The management of chylothorax is usually conservative, surgical reoperation with thoracic duct ligation being reserved for those cases refractory to that treatment. Read More

View Article and Full-Text PDF
April 2022
Similar Publications

Normal Vascular Structures and Variants on Head and Neck Imaging.

Authors:
June Kim Edward J Escott

Neuroimaging Clin N Am 2022 May;32(2):391-412

Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, USA.

The vasculature of the neck, comprised of arteries and veins, provides for the supply and return of blood to and from the brain, and to structures of the neck and face. Knowledge of normal appearance and anatomy, and anatomic variants, may help one distinguish between normal and pathologic processes in the neck, which may affect diagnosis or choice of surgical approach. Other related structures that are important to recognize include the thoracic duct and carotid body. Read More

View Article and Full-Text PDF
May 2022
Similar Publications
}