Chan A C, Sarojah A
Hospital Sultan Ismail, Jalan Persiaran Mutiara Utama, Taman Mount Austin, 81100, Johor Bahru, Johor, Malaysia.
Med J Malaysia. 2013 Jun;68(3):262-3.
Chylous leakage after mastectomy & axillary clearance is a rare complication. The incidence is less than 0.5%. Anatomical variations in the termination of thoracic duct can occur, rendering it susceptible to injury during axillary dissection. Most chyle leaks in the axilla are managed through conservative measures. Surgical intervention is required in high output chylous leaks. We encountered a case of chylous leak post mastectomy with axillary clearance, which was successfully treated conservatively.
乳房切除术和腋窝清扫术后乳糜漏是一种罕见的并发症。发生率低于0.5%。胸导管末端可能存在解剖变异，使其在腋窝清扫过程中易受损伤。大多数腋窝乳糜漏通过保守措施处理。高流量乳糜漏需要手术干预。我们遇到一例乳房切除术后伴腋窝清扫的乳糜漏病例，经保守治疗成功治愈。
