Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Radiodiagnosis, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2021 May 21;14(5):e238961. doi: 10.1136/bcr-2020-238961.
Chylothorax is generally seen due to iatrogenic injury to the thoracic duct during thoracic or neck surgery. It can also be encountered secondary to chest trauma either blunt or penetrating. Percutaneous thoracic duct embolisation is an alternative to surgical treatment and is considered an effective and safe minimally invasive treatment option for chylothorax with a success rate of about 80%. We present a case of blunt trauma to the chest with chylothorax, which was successfully managed with transvenous retrograde thoracic duct embolisation.
乳糜胸通常是由于胸外科或颈部手术时医源性损伤胸导管引起的。也可因胸部钝性或穿透性创伤而继发。经皮胸导管栓塞是手术治疗的一种替代方法，被认为是治疗乳糜胸的一种有效且安全的微创治疗选择，成功率约为 80%。我们报告了 1 例胸部钝性创伤导致乳糜胸的病例，经静脉逆行胸导管栓塞成功治疗。
