頸胸部外傷に伴う咽頭後腔への乳び漏出：診断のジレンマと管理：症例報告

We report a 55-year-old woman with bull gore trauma to the lower neck who developed dysphagia and airway compromise due to a retropharyngeal chyle collection. Imaging revealed a prevertebral fluid collection. Surgical drainage, which confirmed chyle, followed by thoracic duct ligation through video-assisted thoracoscopic surgery, was required due to a persistent high-output leak.

Thoracic duct injury at the cervicothoracic junction is an uncommon but serious complication of trauma. High suspicion, timely diagnosis, and surgical intervention ensure favorable outcomes especially in cases with isolated retropharyngeal collection without chylothorax.