DIAGNOSIS AND TREATMENT OF A CHYLOUS FISTULA AFTER LEFT NECK MASS SURGERY

Ngô Văn Công1,
1 Cho Ray Hospital

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Abstract

The patient man has a left neck mass and come to hospital on November, 15th, 2017. After removing total mass of left neck, he had chylous fistula. The volume of chile secreted about 1000ml/ days. He had diagnosised a serious chylous leakage after neck surgery. This case is rarely happen in medical practice. We indentified a chylous fistula early and to cure to prevent serious complication. After operating to suture thoracic duct fistula, he was stable health. This case shows clinical symptoms and diagnosis a chylous fistula to help physican can indentify same case in the future.

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References

1. Crumley R. L., Smith J. D. (1976), Postoperative chylous fistula prevention and management. Laryngoscope, 86 (6), 804-13.
2. de Gier H. H., Balm A. J., Bruning P. F., Gregor R. T., Hilgers F. J. (1996), Systematic approach to the treatment of chylous leakage after neck dissection. Head Neck, 18 (4), 347-51.
3. Lucente F. E., Diktaban T., Lawson W., Biller H. F. (1981), Chyle fistula management. Otolaryngol Head Neck Surg, 89 (4), 575-8.
4. Muthusami John C., Raj John P., Gladwin D., Gaikwad Pranay, Sylvester Shalom (2005), Persistent chyle leak following radical neck dissection: a solution that can be the solution. Annals of the Royal College of Surgeons of England, 87 (5), 379-379.
5. Nussenbaum B., Liu J. H., Sinard R. J. (2000), Systematic management of chyle fistula: the Southwestern experience and review of the literature. Otolaryngol Head Neck Surg, 122 (1), 31-8.
6. Rimensberger P. C., Müller-Schenker B., Kalangos A., Beghetti M. (1998), Treatment of a persistent postoperative chylothorax with somatostatin. Ann Thorac Surg, 66 (1), 253-4.
7. Rodgers G. K., Johnson J. T., Petruzzelli G. J., Warty V. S., Wagner R. L. (1992), Lipid and volume analysis of neck drainage in patients undergoing neck dissection. Am J Otolaryngol, 13 (5), 306-9.
8. Spiro J. D., Spiro R. H., Strong E. W. (1990), The management of chyle fistula. Laryngoscope, 100 (7), 771-4.
9. Stuart W. J. (1907), Operative Injuries of the Thoracic Duct in the Neck. Edinburgh Medical Journal, 22 (4), 301-317.
10. Knochel James P. (1985), Complications of total parenteral nutrition. Kidney International, 27 (3), 489-496.