Chylous leak: Difference between revisions
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***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== | ||
Revision as of 08:48, 25 February 2018
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