Chang Sung Wook, Kim Bong Man, Ryu Kyoung Min, Ryu Jae-Wook
1 Trauma Center, 2 Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Republic of Korea.
J Thorac Dis. 2015 Oct;7(10):E499-501. doi: 10.3978/j.issn.2072-1439.2015.10.35.
A 49-year-old female presented to the emergency department after multiple stab injuries. Bilateral thoracostomy was performed due to a right hemopneumothorax and a left pneumothorax without tracheoesophageal and vascular injury. On admission day 4, a significant amount of milky fluid was collected in the drain after initiation of regular diet. Under suspicion of chylothorax, conservative management was initiated, but failed. Surgery was considered, but ruled out due to the patient's refusal. As an alternative, lymphangiography was performed, which resulted in decreased thoracic drainage and eventual removal of the chest tube. This is an unusual case of an isolated thoracic duct injury that was successful treated by closure of the duct after intranodal lymphangiography.
一名49岁女性在多处刺伤后被送往急诊科。因右侧血气胸和左侧气胸且无气管食管及血管损伤，进行了双侧胸廓造口术。入院第4天，开始正常饮食后引流管中收集到大量乳状液体。怀疑为乳糜胸，开始采取保守治疗，但未成功。考虑过手术，但因患者拒绝而排除。作为替代方案，进行了淋巴管造影，结果胸腔引流量减少，最终拔除了胸管。这是一例罕见的孤立性胸导管损伤病例，通过结内淋巴管造影后封闭导管成功治愈。
