Department of Nuclear Medicine. Addenbrooke's Hospital, Cambridge, UK.
Clin Nucl Med. 2012 Nov;37(11):1126-8. doi: 10.1097/RLU.0b013e31825b2707.
Iatrogenic chyle leak with chyloma formation in the neck is a rare complication of neck dissection resulting from injury to the thoracic duct. We present the case of a 37-year-old woman who complained of left-sided neck swelling within days after total thyroidectomy and lateral neck dissection for papillary thyroid cancer. Lymphoscintigraphy demonstrated the chyle leak in the left cervical region, and subsequent aspiration of the left neck swelling showed radioactivity in the aspirate. After successful operative repair of the thoracic duct, the patient was able to undergo radioactive ablative thyroid treatment.
医源性乳糜漏伴颈部乳糜瘤形成是颈部清扫术导致胸导管损伤的罕见并发症。我们报告 1 例 37 岁女性，因甲状腺乳头状癌行甲状腺全切除术及颈侧区清扫术后数天出现左侧颈部肿胀。淋巴闪烁显像显示左侧颈部区域有乳糜漏，随后对左侧颈部肿胀进行抽吸，抽吸物中显示放射性。胸导管成功修复后，患者能够接受放射性甲状腺消融治疗。
