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Traumatic chylothorax: a dilemma to surgeons and interventionists
Parvez Mohi Ud Din Dar1, Shivanand Gamanagatti2, Pratyusha Priyadarshini1
1Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Reports
|May 22, 2021
Summary
Chylothorax, often from surgery or trauma, can be treated with thoracic duct embolisation. This minimally invasive procedure offers an 80% success rate for managing chylothorax effectively.
Area of Science:
- Thoracic Surgery
- Interventional Radiology
- Trauma Management
Background:
- Chylothorax commonly results from iatrogenic injury to the thoracic duct during neck or thoracic surgery.
- It can also arise secondary to blunt or penetrating chest trauma.
- Thoracic duct embolisation presents a minimally invasive alternative to surgical intervention for chylothorax.
Observation:
- This report details a case of chylothorax following blunt chest trauma.
- The patient underwent transvenous retrograde thoracic duct embolisation for management.
- This approach was chosen as an alternative to surgical treatment.
Findings:
- Transvenous retrograde thoracic duct embolisation was successfully performed.
- The minimally invasive procedure effectively managed the chylothorax.
- This case highlights the efficacy of embolisation in trauma-induced chylothorax.
Implications:
- Percutaneous thoracic duct embolisation is a safe and effective treatment for chylothorax.
- This technique offers a viable alternative for managing chylothorax, particularly in trauma cases.
- Further research may explore the long-term outcomes of this minimally invasive approach.
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