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'Chyloma': a persistent post-traumatic collection in the left supraclavicular region
The Journal of Trauma
|May 1, 1987
Summary
Traumatic thoracic duct injury caused chylothorax and a supraclavicular chyloma. Surgical ligation of the thoracic duct above the diaphragm successfully treated the chyloma.
Area of Science:
- Thoracic surgery
- Vascular surgery
- Trauma surgery
Background:
- Traumatic injuries can disrupt the thoracic duct, leading to chylous fluid accumulation.
- Chylothorax and chyloma are rare but serious complications of thoracic duct injury.
Observation:
- A patient presented with traumatic disruption of the thoracic duct.
- This resulted in chylothorax and a distinct chyloma in the left supraclavicular area.
Findings:
- The patient's condition necessitated intervention for the chyloma.
- Supradiaphragmatic ligation of the thoracic duct was performed as the treatment.
Implications:
- This case highlights a specific surgical approach for managing complex thoracic duct injuries.
- Effective treatment of chyloma requires addressing the underlying duct disruption.