Chylous leak: Difference between revisions
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==Background== | ==Background== | ||
*Most commonly caused by lymphoma (60%) | *Most commonly caused by [[lymphoma]] (60%) | ||
**Other causes | **Other causes | ||
***Trauma (25%) | ***Trauma (25%) | ||
***Iatrogenic injury after head and neck surgery (15%) | ***Iatrogenic injury after head and neck surgery (15%) | ||
****Thoracic duct enters the neck to the left of the esophagus and arches several centimeters above the | ****Thoracic duct enters the neck to the left of the esophagus and arches several centimeters above the clavicle. | ||
==Clinical Features== | ==Clinical Features== | ||
Chyle can accumulate in the thoracic and abdominal cavities leading to: | *Chyle can accumulate in the thoracic and abdominal cavities leading to: | ||
*Chyle Fistula | **Chyle Fistula | ||
*Chylous Effusion | **Chylous Effusion | ||
*Chylous ascites | **Chylous [[ascites]] | ||
*Chylothorax | **[[Chylothorax]] | ||
*Chylopericardium | **Chylopericardium | ||
*Leakage of fluid can lead to | |||
Leakage of fluid can lead to | **Inflammatory reaction | ||
* | **Infection | ||
* | **[[Electrolyte abnormalities]] | ||
* | **Poor wound healing | ||
* | **Fistula formation | ||
* | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Abscess | *[[Abscess]] | ||
*Malignancy | *Malignancy | ||
| Line 43: | Line 41: | ||
==References== | ==References== | ||
Pascual J, Hsiao T, Goldstein S. Chylous Leak - The abscess doppleganger. Visual Journal of Emergency Medicine. 9C (2017) pp. 63-64 | Pascual J, Hsiao T, Goldstein S. Chylous Leak - The abscess doppleganger. Visual Journal of Emergency Medicine. 9C (2017) pp. 63-64 | ||
[[Category:Surgery]] | |||
Latest revision as of 16:44, 25 October 2019
Background
- Most commonly caused by lymphoma (60%)
- Other causes
- Trauma (25%)
- Iatrogenic injury after head and neck surgery (15%)
- Thoracic duct enters the neck to the left of the esophagus and arches several centimeters above the clavicle.
- Other causes
Clinical Features
- Chyle can accumulate in the thoracic and abdominal cavities leading to:
- Chyle Fistula
- Chylous Effusion
- Chylous ascites
- Chylothorax
- Chylopericardium
- Leakage of fluid can lead to
- Inflammatory reaction
- Infection
- Electrolyte abnormalities
- Poor wound healing
- Fistula formation
Differential Diagnosis
- Abscess
- Malignancy
Evaluation
Management
Disposition
See Also
External Links
References
Pascual J, Hsiao T, Goldstein S. Chylous Leak - The abscess doppleganger. Visual Journal of Emergency Medicine. 9C (2017) pp. 63-64