High Output Chylous Fistula Post First Rib Resection.

Abstract:

:We present a patient who developed high output chyle leak post left first-rib resection for neurogenic thoracic outlet syndrome. The persistent high output chylorrhea was refractory to 3 surgical reexplorations attempting to ligate leaking branches, bed rest, nonfat diet, parenteral nutrition, octreotide administration, and vacuum-assisted closure (VAC) therapy. In addition, she developed hypovolemia, hyponatremia, and hypoalbuminemia. Control of the chylous fistula was achieved by reattaching the sternocleidomastoid muscle laterally to protect the phrenic nerve and brachial plexus in order to redirect chyle to the medial portion of the neck incision site. This was supported by the application of fibrin sealants in combination with VAC therapy. The patient was discharged after a 27-day hospital stay with complete resolution of her chylous fistula prior to discharge.

journal_name

Ann Vasc Surg

authors

Tsang CLN,Gunanayagam P,Feitosa R,Villalba L

doi

10.1016/j.avsg.2019.07.023

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

455.e1-455.e5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(19)30771-X

journal_volume

63

pub_type

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