Bilateral chylothorax after left neck lymphadenectomy for thyroid cancer: A case report

被引：1

作者：

Sun, Wencong ^{[1
]}

Wang, Xinhui ^{[2
]}

Ding, Chao ^{[1
]}

Wang, Yichen ^{[1
]}

Su, Zijie ^{[1
]}

Li, Guoqing ^{[1
]}

机构：

[1] Zhengzhou Univ, Peoples Hosp, Henan Prov Peoples Hosp, Dept Thyroid Surg, Zhengzhou 450003, Henan, Peoples R China

[2] Zhengzhou Univ, Henan Prov Peoples Hosp, Peoples Hosp, Dept Geriatr, Zhengzhou 450003, Henan, Peoples R China

来源：

HELIYON | 2024年 / 10卷 / 04期

关键词：

Chylothorax; Lymphadenectomy; Thyroid cancer; Dyspnea; Postoperative complications; Case report; MANAGEMENT; DISSECTION; LEAKAGE;

D O I：

10.1016/j.heliyon.2024.e26178

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Introduction: Chylothorax is caused by lymphatic chyle fluid leaking back through the thoracic duct and accumulating in the pleural cavity. It is related to a thoracic duct injury or occlusion. It is rare to have bilateral chylothorax after cervical lymph node dissection for thyroid cancer diagnosis. Case report: A 28-year-old woman was admitted to our hospital with bilateral hypoechoic thyroid nodules and cervical lymph node abnormalities. She underwent thyroidectomy and lymphadenectomy but developed chylothorax 3 days after surgery. She was treated with bilateral thoracic drainage, electrolyte supplementation, and somatostatin, and was discharged 17 days posttreatment. Conclusion: Bilateral chylothorax is a rare complication of thyroid cancer surgery. Early diagnosis and treatment, especially the detection of dyspnea, are key. Also, unobstructed bilateral thoracic drainage, improved surgical skills, and reduced thoracic duct injuries can help reduce complications.

引用

页数：5

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