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

CT 引导下经皮胸导管硬化注射治疗甲状腺切除术后宫颈乳糜漏 1 例.

• 发表时间: Sep 2021
• 来源期刊: Radiol Case Rep
• DOI: 10.1016/j.radcr.2021.06.054
• PMID: 34336073
• 文章类型: Case Reports
• 作者列表: Cuong NN,Hoan L,Linh LT,Tan PH,My TTT,Duc NM

关键词: Chylous leakage; Thoracic duct embolization; Thoracic duct sclerotic injection; Thyroidectomy

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.

摘要

甲状腺切除术后的乳糜漏很少见，几乎所有有这种并发症的患者都可以保守治疗。然而,在高流量泄漏患者中，治疗可能很复杂。在这项研究中,我们报告了一个病例，该病例通过使用两次经皮介入术中断胸导管成功治疗。第一次干预是胸导管栓塞，第二种干预措施是在计算机断层扫描指导下对胸导管进行硬化注射。