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Case Reports
. 2021 Jul 15;16(9):2687-2691.
doi: 10.1016/j.radcr.2021.06.054. eCollection 2021 Sep.

Percutaneous sclerosing injection to the thoracic duct under CT guidance for cervical chylous leakage post thyroidectomy: A case report

Nguyen Ngoc Cuong  1 , Le Hoan  2 , Le Tuan Linh  1 , Pham Huy Tan  3 , Thieu Thi Tra My  4 , Nguyen Minh Duc  5
Affiliations
Case Reports

Percutaneous sclerosing injection to the thoracic duct under CT guidance for cervical chylous leakage post thyroidectomy: A case report

Nguyen Ngoc Cuong et al. Radiol Case Rep. .

Erratum in

Abstract

Chylous leakage after thyroidectomy is rare, and almost all patients with this complication can be treated conservatively. However, in patients with high-flow leakage, treatments can be complicated. In this study, we report a case that was successfully treated by disrupting the thoracic duct using two sessions of percutaneous interventions. The first intervention was a thoracic duct embolization, and the second intervention was a sclerosing injection to the thoracic duct under computed tomography guidance.

Keywords: Chylous leakage; Thoracic duct embolization; Thoracic duct sclerotic injection; Thyroidectomy.

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Figures

Fig 1
Fig. 1
Lymphangiography showed the appearance of the cisterna chyli (A, arrows) and extravasation of the contrast agent to the distal part of the thoracic duct (B, arrows).
Fig 2
Fig. 2
The glue cast was observed along the thoracic duct (TD). A) The glue was observed in the distal part of the TD (short arrow), and glue was observed in the retroperitoneal space (long arrow). B) The glue was observed in the middle segment of the TD and its branch (arrows).
Fig 3
Fig. 3
Radiography 8 days after thoracic duct (TD) embolization. A) Glue was completely washed out from the distal part of the TD (arrow). B) Some glue could be observed in the middle segment of the TD and its branch (long arrows), and minimal stagnation of the contrast agent was observed in the TD (short arrows).
Fig 4
Fig. 4
Chest CT scans 8 days after thoracic duct (TD) embolism. A) The TD, containing contrast agent, was observed (arrow). B) A needle was used to puncture the TD under CT guidance (arrow), and the sclerosing agent was injected into the TD.
See this image and copyright information in PMC

References

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