- 作者：Ninos Anestis ; anestisninos@gmail.com ; Farazi-Chongouki Christos ; Pougouras Ioannis ; Iordanou Christos ; Palivos Lampros ; Pierrakakis Stephanos
- 关键词：Thoracic duct injury ; Chyle fistula ; Biological glue
- 刊名：International Journal of Surgery Case Reports
- 出版年：2012
- 期刊代码：pca193_22102612
- 类别：med
- 出版时间：2012
- 卷：3
- 期：7
- 页码：330-332
- 文件大小：379 K
INTRODUCTION
A thoracic duct injury complicated with a chylous fistula is a rather rare occurrence associated with left subclavicular catheterization. We present a new method of its conservative management which seems to be the least interventional described so far. It can be used in cases of this iatrogenic injury irrespective of the rate of chyle loss.PRESENTATION OF CASE
Our case report involves a 59-year-old patient with a high-output chyle fistula due to left subclavicular vein catheterization, in which biological cyanoacrylic glue was used through percutaneous infusion to the venous angle, where the thoracic duct was leaking. An extensive review of the relevant literature is presented.
DISCUSSION
Most of the high-output fistulas require a long time of conservative treatment, which may result in severe complications due to the prolongation of chyle loss. An operation may be needed in selected cases. Our proposed interventional method can be used in cases of percutaneous injury of a chyle duct, with immediate results.
CONCLUSION
An iatrogenic chyle fistula due to left subclavicular catheterization can be obtained with a percutaneous injection of biological glue directly onto the injured vessel.