Eren Tunç, Demir Mustafa, Orman Süleyman, Leblebici Metin, Özemir İbrahim Ali, Alimoğlu Orhan
Department of General Surgery, İstanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey.
Turk J Surg. 2015 Jul 6;33(2):119-122. doi: 10.5152/UCD.2015.2925. eCollection 2017.
The chyle duct (CD) lies close to the spine behind the right renal vein and vena cava. Forces capable of tearing the CD may also injure other adjacent structures or organs. Cases of isolated chylous injury are rarely reported in the literature. Our aim was to report a case of isolated chylous injury due to blunt abdominal trauma that was successfully treated non-operatively. A 54-year-old man was involved in a deceleration-type traffic accident. His physical examinations, radiologic evaluations, paracentesis, and laboratory findings revealed isolated chylous injury resulting from intra- and retroperitoneal chylous fluid collection. The patient was treated via percutaneous drainage and medical therapy. This condition is generally self-limited and resolves without the necessity of any surgical interventions. However, if medical treatment is unsuccessful, the decision of diagnostic laparoscopy or exploratory laparotomy becomes inevitable.
乳糜池（CD）位于右肾静脉和腔静脉后方靠近脊柱处。能够撕裂乳糜池的外力也可能损伤其他相邻结构或器官。文献中很少报道孤立性乳糜损伤病例。我们的目的是报告一例因钝性腹部创伤导致的孤立性乳糜损伤，该病例通过非手术治疗成功治愈。一名54岁男性遭遇减速型交通事故。他的体格检查、影像学评估、腹腔穿刺及实验室检查结果显示，因腹腔内和腹膜后乳糜液积聚导致孤立性乳糜损伤。该患者通过经皮引流和药物治疗。这种情况通常具有自限性，无需任何手术干预即可自行缓解。然而，如果药物治疗无效，诊断性腹腔镜检查或剖腹探查术的决策就不可避免。
