Magnetic Resonance Imaging of Chyle Leakage after Left Lateral Neck Dissection for Thyroid Cancer

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  • MRIによる胸管描出が参考となった左甲状腺癌術後頸部乳糜漏の1例
  • 症例 MRIによる胸管描出が参考となった左甲状腺癌術後頸部乳糜漏の1例
  • ショウレイ MRI ニ ヨル キョウカン ビョウシュツ ガ サンコウ ト ナッタ ヒダリ コウジョウセン ガン ジュツゴ ケイブニュウビロウ ノ 1レイ

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Abstract

A left thyroid lobe resection and left lateral neck dissection were performed on a 57-year-old male as treatment for papillary thyroid cancer (T2N1M0). On the second day after surgery, the patient presented with left neck swelling about 10cm in diameter. A needle puncture showed milky discharge. Placing the patient on a low-fat diet had no positive effect. Magnetic resonance imaging (MRI) showed the thoracic duct and fluid collection in the left neck. We performed a second surgery on the twelfth day after thyroidectomy. Chyle leakage was detected at the left subclavian-jugular junction. The leakage point was mattress-sutured with the patient's fat tissue and covered with a tissue sealing sheet and fibrin glue. The patient had no postoperative complications. The drainage tube was removed on the fifth day after the second surgery, and the patient was discharged on the eighth day.

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