Chylous leak

Revision as of 02:16, 27 January 2019 by ClaireLewis (talk | contribs)

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.

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

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