Bilateral chylothorax following left sided modified radical neck dissection

Soodin, D; Singh, Pallika; Irani, Dariush; Zakon, Joseph; Krishnamoorthy, S

doi:10.4038/cmj.v55i4.2632

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Chylous stula of the neck, which is related to the occurrence of chylothorax 6) , was reported in 2% of cases following neck dissection 14) , and chylothorax with chylous stula of the neck is reported to be 0.2% 6) . Moreover, only 9 cases of chylothorax without chylous stula were reported in the literature [7][8][9][10][11][12][13] , associated with head and neck cancer. The primary tumor included 4 cases of thyroid cancer, 2 cases of tongue cancer, 2 cases of laryngeal cancer, 1 case of lower gingival cancer, and 1 case of oral malignant melanoma (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of chylothorax with chylous stula following neck dissection is reportedly 0.2 % 6) . Moreover, only 9 cases of chylothorax without chylous stula were reported in the literature [7][8][9][10][11][12][13] , associated with head and neck cancer. The diagnosis of chylothorax without chylous stula was relatively di cult because of its rarity and the lack of visible ndings such as neck swelling or white uid in the drain tube in the early postoperative stage.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Kimizuka

Yamada

Kawaguchi

et al. 2021

Preprint

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BackgroundAlthough chyle leakage may occur in the neck when the thoracic duct is damaged during cervical dissection, it is extremely rare for the chylothorax alone to leak chyle into the thoracic cavity. Case presentationWe report a case of bilateral chylothorax without chyle cervical leakage after left neck dissection, wherein partial left upper jaw resection and left radical neck dissection were performed in a 46-year-old woman who was diagnosed with left upper gingival cancer. The thoracic duct was ligated and cut during surgery and, although no obvious leakage of lymph was observed, dyspnea and cough reflex during deep inhalation were observed from the 3rd postoperative day. Approximately 600 mL of yellowish-white pleural effusion was aspirated during bilateral thoracentesis, and chylothorax was diagnosed based on clinical findings and biochemical analysis results. The patient was put on a low-fat diet on the 4th postoperative day, and a total of 3 neck drains were removed 8 days after the operation. ConclusionsPleural effusion disappeared on imaging examination 16 days after thoracentesis and 5 years and 6 months have passed since the operation. At this time, there has been no evidence of tumor recurrence, metastasis, or pleural effusion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Kimizuka

Yamada

Kawaguchi

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Moreover, only 9 cases of chylothorax without chylous stula were reported in the literature [7][8][9][10][11][12][13] , associated with head and neck cancer. The diagnosis of chylothorax without chylous stula was relatively di cult because of its rarity and the lack of visible ndings such as neck swelling or white uid in the drain tube in the early postoperative stage.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Kimizuka¹,

Yamada²,

Kawaguchi³

et al. 2021

Preprint

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Background: Although chyle leakage may occur in the neck when the thoracic duct is damaged during cervical dissection, it is extremely rare for the chylothorax alone to leak chyle into the thoracic cavity. Case presentation: We report a case of bilateral chylothorax without chyle cervical leakage after left neck dissection, wherein partial left upper jaw resection and left radical neck dissection were performed in a 46-year-old woman who was diagnosed with left upper gingival cancer. The thoracic duct was ligated and cut during surgery and, although no obvious leakage of lymph was observed, dyspnea and cough reflex during deep inhalation were observed from the 3rd postoperative day. Approximately 600 mL of yellowish-white pleural effusion was aspirated during bilateral thoracentesis, and chylothorax was diagnosed based on clinical findings and biochemical analysis results. The patient was put on a low-fat diet on the 4th postoperative day, and a total of 3 neck drains were removed 8 days after the operation. Conclusions: Pleural effusion disappeared on imaging examination 16 days after thoracentesis and 5 years and 6 months have passed since the operation. At this time, there has been no evidence of tumor recurrence, metastasis, or pleural effusion.

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Bilateral Chylothorax Following Neck Dissection: Case Report & Review of Literature

Singh

Krishnan

George

et al. 2015

Indian J Surg Oncol

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Bilateral Chylothorax following neck dissection is an extremely rare complication. We report a case of bilateral chylothorax detected after neck dissection for carcinoma of lower alveolus. A 61 year Indian female underwent wide excision with segmental mandibulectomy with comprehensive neck dissection for carcinoma of left lower alveolus clinically staged T4N0. Evaluated for dyspnea in post operative period, she was found to have bilateral chylothorax that was managed conservatively. This case report presents potentially life threatening complication following neck dissection that often responds to non surgical management.

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Bilateral chylothorax following left sided modified radical neck dissection

Cited by 4 publications

References 7 publications

Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Bilateral Chylothorax Following Left Neck Dissection and Literature Review

Bilateral Chylothorax Following Neck Dissection: Case Report & Review of Literature

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