As of 1 April 2026, the PSJD database will become an archive and will no longer accept new data. Current publications from Polish scientific journals are available through the Library of Science: https://bibliotekanauki.pl
Thoracic duct injuries are a rare complication of thyroid surgery. This report documents two cases of thoracic duct injury complicated by formation of chyloma following thyroid surgery. The injury was identified post-operatively and treated successfully. We review the diagnostic and therapeutic options and discuss their applicability to our patients.
Department of General Surgery, Christchurch Public Hospital, New Zealand
References
Rosato L, Avenia N: Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg 2004; 28(3): 271-76.
O'Neill JN: Ligation of thoracic duct for chylothorax due to blunt trauma. Case report. Am Surg 1965; 31(11): 757-58.
Kausel HW, Reeve TS, Stein AA, et al.: Anatomic and pathologic studies of the thoracic duct. J Thorac Surg 1957; 34(5): 631-41.[PubMed]
Kinnaert P: Anatomical variations of the cervical portion of the thoracic duct in man. J Anat 1973; 115(1): 45-52.[PubMed]
de Gier HH, Balm AJ, Bruning PF, et al.: Systematic approach to the treatment of chylous leakage after neck dissection. Head Neck 1996; 18(4): 347-51.[Crossref]
Madnani D, Myssiorek D: Left cervical chyloma following right thyroidectomy. Ear Nose Throat J 2003; 82(7): 522-24.[PubMed]
Spiro JD, Spiro RH, Strong EW: The management of chyle fistula. Laryngoscope 1990; 100(7): 771-74.[PubMed]
Genden EM, Ferlito A, Shaha AR, et al.: Complications of neck dissection. Acta Otolaryngol 2003; 123(7): 795-801.
Scott KJ, Simko E: Thoracoscopic management of cervical thoracic duct injuries: an alternative approach. Otolaryngol Head Neck Surg 2003; 128(5): 755-57.
Nouwen J, Hans S, Halimi P, et al.: Lymphocele after neck dissection. Ann Otol Rhinol Laryngol 2004; 113(1): 39-42.[PubMed]
Velegrakis GA, Prokopakis EP, Papadakis CE, et al.: Management of chylous fistula using the fibrin adhesive set. ORL J Otorhinolaryngol Relat Spec 1998; 60(4): 230-32.
Gregor RT: Management of chyle fistulization in association with neck dissection. Otolaryngol Head Neck Surg 2000; 122(3): 434-39.[PubMed]
Kassel RN, Havas TE, Gullane PJ: The use of topical tetracycline in the management of persistent chylous fistulae. J Otolaryngol 1987; 16(3): 174-78.[PubMed]
Markham KM, Glover JL, Welsh RJ, et al.: Octreotide in the treatment of thoracic duct injuries. Am Surg 2000; 66(12): 1165-67.[PubMed]
Seelig MH, Klingler PJ, Oldenburg WA: Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine. J Vasc Surg 1998; 27(6): 1148-51.[PubMed][Crossref]
Crumley RL, Smith JD: Postoperative chylous fistula prevention and management. Laryngoscope 1976; 86(6): 804-13.[Crossref][PubMed]
Spiro JD, Spiro RH, Strong EW: The management of chyle fistula. Laryngoscope 1990; 100(7): 771-74.[PubMed]