Acute pancreatitis after thoracic duct ligation for iatrogenic chylothorax. A case report

Abstract

BackgroundTo report the association between thoracic duct ligation and acute pancreatitis. The association between sudden stop of lymphatic flow and pancreatitis has been established in experimental models.Case presentation A 57-year-old woman operated for thymoma presented a iatrogenic chylothorax. After thoracic duct ligation, she presented an acute pancreatitis which resolved after conservative treatment. The chylothorax disappeared within 4 days of thoracic duct ligation.ConclusionsThis is the first report of acute pancreatitis following thoracic duct ligation. The pancreas and digestive tract should be assessed in symptomatic patients after thoracic duct ligation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12893-017-0204-3) contains supplementary material, which is available to authorized users.

Burr hole drainage and burr hole drainage with irrigation to treat chronic subdural hematoma

“…General information on the 2 RCTs and 7 observational studies is listed in Table 4 . Three studies were conducted in Japan, [ 4 , 7 , 11 ] 1 in Turkey, [ 5 ] 1 in China, [ 13 ] 1 in Pakistan, [ 10 ] 1 in Malaysia, [ 8 ] and 2 in Korea. [ 6 , 9 ] All patients were adults rather than children with CSDH.…”

“…All trials reported the incidence of recurrence in both the treatment and control groups. Additionally 2 studies [ 8 , 11 ] evaluated the pneumocephalus rate of each group, 2 studies [ 13 , 6 ] described the volume of pneumocrania (on the postoperative day), and 4 studies reported postoperative mortality within 3 months. Furthermore, 6 studies had >3-month follow-up periods, [ 13 , 5 , 6 , 8 , 9 , 11 ] 1 had a 1- to 12-month follow-up, [ 7 ] and 2 [ 10 , 13 ] did not report the precise follow-up times (Table 4 ).…”

“…The 7 observational cohort studies [ 6 , 7 , 6 , 10 , 12 ] clearly described their study population (including missing data and lost follow-up). Furthermore, 6 studies [ 4 , 5 , 7 , 8 , 10 , 11 ] did not disclose their funding sources, 2 [ 6 , 9 ] showed no support fund, and 1 [ 13 ] was supported by hospital funds.…”

“…[ 11 ] Wang et al observed no statistically significant difference for each group has 1 case (1.1% in BHDI and 1.6% in BHD). [ 13 ] Thus, this study aimed to present the existing results, and provide references for further study.…”

New application of direct lymphangiography in the diagnosis and treatment of chylothorax after lung cancer surgery: a case series

“…Finding and repairing chyle leaks is the ideal solution to chylothorax, but is difficult to achieve in practice (4). The most popular procedure is TDL, with thoracic duct exploration during surgery (4); however, the repeated failure of TDL is perplexing (16). According to Johnson et al, 40-60% of thoracic ducts have anatomical variations (17).…”