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Chylothorax after esophagectomy cured by intranodal lymphangiography: a case report.

Abstract
This is a case report of chylothorax after esophagectomy for esophageal cancer cured by intranodal lymphangiography in the groin. A 62-year-old man was admitted to our Hospital with dysphagia. The diagnosis was made of advanced esophageal cancer (T3N1M0, stage IIIA). After neoadjuvant chemotherapy, radical surgery was performed. On postoperative day (POD) 9, left pleural effusion drainage increased sharply and changed to a milky white color, leading to a diagnosis of chylothorax. Although chylothorax was managed with conservative treatment, there was an inadequate response to it. On POD 15, lymphangiography was performed. Inguinal nodes were directly accessed under ultrasound guidance and lipiodol was injected into nodes. After the lymphangiography, the left pleural effusion drainage immediately decreased. On POD 40, the patient was discharged. To the best of our knowledge, this is the first report of a chylothorax after esophagectomy for esophageal cancer to be cured by ultrasound-guided intranodal lymphangiography in the groin.
AuthorsMasaaki Yamamoto, Hiroshi Miyata, Makoto Yamasaki, Noboru Maeda, Yasuhiro Miyazaki, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Shuji Takiguchi, Masaki Mori, Yuichiro Doki
JournalAnticancer research (Anticancer Res) Vol. 35 Issue 2 Pg. 891-5 (Feb 2015) ISSN: 1791-7530 [Electronic] Greece
PMID25667471 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
Topics
  • Chylothorax (etiology, therapy)
  • Esophageal Neoplasms (surgery)
  • Esophagectomy (adverse effects)
  • Humans
  • Lymphography
  • Male
  • Middle Aged

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