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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Bilateral Chylothorax Following Total Thyroidectomy with Neck Dissection for Papillary Thyroid Cancer: Case report
Musallam Kashoob1, Saleh Bawain2, Yahya Al Badaai3
1Departments of Ear, Nose and Throat, Oman Medical Specialty Board, Muscat, Oman.
Sultan Qaboos University Medical Journal
|September 15, 2021
Summary
Bilateral chylothorax, a rare complication after thyroidectomy and neck dissection, can cause severe illness. This case highlights conservative management leading to recovery from this serious post-surgical condition.
Area of Science:
- Thoracic Surgery
- Surgical Complications
- Pulmonary Medicine
Background:
- Bilateral chylothorax is a rare but serious complication following neck surgery, particularly thyroidectomy with neck dissection.
- Prompt recognition and management are crucial to prevent severe morbidity and mortality.
Observation:
- A 35-year-old female presented with shortness of breath and respiratory distress one week post-total thyroidectomy and neck dissection.
- Clinical examination revealed bilateral pleural effusion as the cause of her symptoms.
Findings:
- The patient's bilateral pleural effusion was diagnosed as a complication of the preceding neck surgery.
- Conservative management strategies were initiated for the bilateral chylothorax.
Implications:
- This case underscores the importance of considering bilateral chylothorax in patients presenting with respiratory distress after thyroidectomy and neck dissection.
- Conservative management can be effective in resolving this rare surgical complication, leading to patient recovery.
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