Localization of Lymphatic Leakage Site in Chylothorax by Thoracic Duct Scintigraphy by Orally Administered 123I BMIPP Using SPECT/CT

Takanami, Kentaro; Ichikawa, Hirofumi; Takahashi, Satoshi

doi:10.1097/rlu.0b013e3182443cd5

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…This approach has been supported by numerous authors and has yielded satisfactory results in terms of reducing chyle production within a few days to 3-4 weeks. [14] In some cases, administration of octreotide has shown positive outcomes for patients. [15] Surgical intervention Chest Tube Placement and Pleurodesis Regimen the patient underwent a chest tube thoracostomy procedure along with bed rest, total parenteral nutrition, and maintenance of electrolyte balance.…”

Section: Discussionmentioning

confidence: 99%

Chylothorax Management Four Years Post Spine Surgery: A Successful Conservative Treatment

Skenduli

Mezini

Caushi

et al. 2023

AJTES

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Background: Chylothorax is a pathological condition associated with a high mortality and morbidity rate. The first observation of chylothorax associated with thoracic vertebral injury was documented by Krabbell in 1885. Since then, several cases have been described in the literature. Non traumatic chylothorax several years after spine surgery is a rare condition. We described a case of a patient who sustained a thoracic spine fracture-dislocation and presented with a right sided chylothorax as a late complication to his thoracic spine trauma. A right thoracentesis was performed, providing partial relief of respiratory symptoms. The collected fluid was sent to the laboratory for further examination. Biochemical analysis of the milky pleural fluid confirmed the suspicion of chylothorax, with elevated levels of triglycerides and lymphocytes. These findings supported the diagnosis of chylothorax. Conclusion: Non-traumatic chylothorax occurring several years after spine surgery is a rare condition, and there is limited literature available on this particular pathology. The diagnosis can be simplified through laboratory examination of the milky fluid. Conservative treatment is typically the approach of choice in the majority of cases, involving total parenteral nutrition and the insertion of a chest tube into the chest cavity, followed by chemical pleurodesis.

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Section: Discussionmentioning

confidence: 99%

Chylothorax Management Four Years Post Spine Surgery: A Successful Conservative Treatment

Skenduli

Mezini

Caushi

et al. 2023

AJTES

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“…The presence of chylomicrons could be also speculated with the measurement of fluid cholesterol and triglyceride levels [12]. In recently published data near-infrared fluorescence imaging of thoracic duct and scintigraphy by orally administered 123 I BMIPP using SPECT/CT could reveal the chylous leakage [37]. Treatment of traumatic chylothorax is mainly conservative with chest drainage and total parenteral nutrition (TPN), followed by medium-chain triglyceride diet.…”

Section: Discussionmentioning

confidence: 99%

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

et al. 2015

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Chylothorax is a rare form of chyle accumulation that can be associated with both traumatic and non-traumatic causes. We described a case of a patient who sustained a thoracic spine fracture-dislocation and presented with a left-sided chylothorax as a late complication to his thoracic spine trauma. A 19-year-old multi-trauma patient with bilateral pneumothorax, bilateral lung contusions and a severe thoracic spine fracture-dislocation was admitted to the intensive care unit (ICU) of our hospital intubated due to his unstable respiratory function. Bilateral thoracostomies were placed to his thoracic cavity prior to his admission to the ICU. The thoracic fracture-dislocation was stabilized with posterior fixation of his thoracic spine during his stay at the ICU. He was transferred to the neurosurgery department where at the 50th day of his hospitalization, a left-sided chylothorax was identified. Conservative management was decided and the chyle leak ceased over a period of 2 weeks. The patient was discharged from the clinic after a 3-month period of hospitalization. Traumatic chylothorax is a rare complication directly linked to thoracic spine fractures. It can occur immediately after trauma or several weeks after as in our case. Early diagnosis and treatment are essential for the avoidance of severe complications linked to the chyle loss.

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The Role of Radionuclide Imaging in Congenital Heart Disease

Crean

Ahmed

Motwani

2017

Curr Cardiovasc Imaging Rep

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Localization of Lymphatic Leakage Site in Chylothorax by Thoracic Duct Scintigraphy by Orally Administered 123I BMIPP Using SPECT/CT

Cited by 3 publications

References 11 publications

Chylothorax Management Four Years Post Spine Surgery: A Successful Conservative Treatment

Chylothorax Management Four Years Post Spine Surgery: A Successful Conservative Treatment

Late Occurrence of Traumatic Chylothorax in a Multi-Trauma Patient With a Thoracic Spine Fracture-Dislocation

The Role of Radionuclide Imaging in Congenital Heart Disease

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