Korean J Otorhinolaryngol-Head Neck Surg.  2021 Feb;64(2):124-128. 10.3342/kjorl-hns.2020.00087.

A Case Report on the Management of Intractable Chyle Leakage after Left Neck Level V Lymph Node Biopsy

Affiliations
  • 1Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Gyeongsang National University Hospital, Jinju
  • 2Institute of Health Sciences, Gyeongsang National University, Jinju, Korea

Abstract

Chyle leakage from the neck, which usually occurs after iatrogenic injury of the thoracic or lymphatic duct, is an uncommon complication of head and neck surgeries, which include neck dissection or thyroidectomy. A small amount of chyle leakage can be treated with conservative approaches, such as nutritional limitation, somatostatin analogues, and wound compression. However, massive or uncontrolled chyle leakage requires surgical exploration of the wound and thoracic duct ligation via the chest or transabdominal thoracic duct embolization can be applied. Here, we report a case of intractable massive chyle leakage in a 78-year-old male after a left neck level V lymph node biopsy, which was not controlled after conservative management and explorative surgery. Various treatment approaches were attempted and successful management of chyle leakage was ultimately achieved by thoracic duct embolization.

Keyword

Chyle leakage; Thoracic duct embolization.
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