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Inicio Cirugía Española (English Edition) Iatrogenic chylous fistula after total thyroidectomy for papillary thyroid cance...
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Vol. 101. Núm. 9.
Páginas 644 (septiembre 2023)
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Vol. 101. Núm. 9.
Páginas 644 (septiembre 2023)
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Iatrogenic chylous fistula after total thyroidectomy for papillary thyroid cancer
Fístula quilosa iatrogénica tras tiroidectomía total por cáncer papilar de tiroides
Visitas
50
María Asunción Acosta-Méridaa,
Autor para correspondencia
maacosta03@yahoo.es

Corresponding author.
, Laura Cano-Contrerasb, Zaida Brito-Péreza, María del Mar Callejón-Caraa
a Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain
b Servicio de Cirugía Torácica, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain
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The patient is a 53-year-old woman treated with total thyroidectomy and central and left dissection due to papillary thyroid carcinoma with level IV lymphadenopathy. On the 2nd postoperative day, she presented 500 mL of lymph discharge through the drain tube. After 2 weeks with parenteral nutrition and somatostatin yet no improvement, lymphography was indicated (Fig. 1), where the contrast rose (white arrows) from the inguinal nodes, towards a cervical collection (yellow arrow), without locating the leak point. Surgery was decided upon, during which we observed (Fig. 2), after medializing the prethyroid muscles (PM) and the carotid artery (CA), the leak orifice in the thoracic duct (TD) between the left jugular vein (JV) and subclavian vein (SV), which was closed with clips (arrow). The patient progressed satisfactorily and was discharged ten days later.

Fig. 1
(0.28MB).
Fig. 2
(0.51MB).
Conflicts of interest and sources of funding

This study has received no specific funding from public, commercial or non-profit agencies.

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