Iatrogenic Chyloma in the Neck

Al-Suqri, Badriya; Dutton, J. Walter

doi:10.1097/rlu.0b013e31825b2707

Clinical Nuclear Medicine

2012

DOI: 10.1097/rlu.0b013e31825b2707

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Iatrogenic Chyloma in the Neck

Badriya Al-Suqri

J. Walter Dutton²

Abstract: Iatrogenic chyle leak with chyloma formation in the neck is a rare complication of neck dissection resulting from injury to the thoracic duct. We present the case of a 37-year-old woman who complained of left-sided neck swelling within days after total thyroidectomy and lateral neck dissection for papillary thyroid cancer. Lymphoscintigraphy demonstrated the chyle leak in the left cervical region, and subsequent aspiration of the left neck swelling showed radioactivity in the aspirate. After successful operati… Show more

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Lymphoscintigraphic Demonstration of Chyle Leak After Kidney Transplantation and Gamma Camera Detection of Radioactivity in Chylous Aspirate

Oh¹,

Yoon²,

Chung³

2014

Clinical Nuclear Medicine

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Iatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showed loculated fluid collection around the transplanted kidney. Lymphoscintigraphy demonstrated chyle leak in the right iliac fossa, and subsequent ultrasound-guided aspiration of the chyloma showed radioactivity as detected by gamma camera. After drainage insertion, the amount of collected fluid gradually decreased, and right leg edema was relieved.

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Lymphoscintigraphic Demonstration of Chyle Leak After Kidney Transplantation and Gamma Camera Detection of Radioactivity in Chylous Aspirate

Oh¹,

Yoon²,

Chung³

2014

Clinical Nuclear Medicine

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Cervical lymphocele: A rare complication following salvage surgery for ocular adnexal apocrine adenocarcinoma. A case report and review of the literature

et al. 2022

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Background. An ocular adnexal apocrine adenocarcinoma (OAAA) is an extremely rare, but potentially aggressive and life-threatening tumor with ill-defined management based only on recommendations from a limited number of reported cases. The development of cervical lymphocele following neck dissection is a very rare complication, but one with well established methods for prevention and treatment. Here we describe a previously unreported case of salvage surgery including neck dissection for OAAA in addition to an emergence of cervical lymphocele. A literature review of current knowledge on both pathological conditions is included. Methods and Results. A 58-year-old man suffering from OAAA, previously treated with multiple eye-sparing excisions and adjuvant proton therapy, underwent salvage surgery for locoregional recurrence of the tumor. A partial orbitectomy with orbital exenteration, primary reconstruction and left-sided neck dissection was performed. The procedure was complicated by a cervical lymphocele resolved after the surgical therapy. The patient remained disease-free during the one-year follow-up. Conclusion.OAAA is a locally aggressive tumor with potential to local or distant metastatic spread. Whole-body staging, regular clinico-radiological follow-up and stage-dependent therapy with surgery as the first-choice treatment is required. A cervical lymphocele as a complication of especially left-sided neck dissection is managed with a conservative or surgical therapy according to the level of lymph leakage, extent and localization of lesions, presence of local or systemic disorders and the period from primary surgery.

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Iatrogenic Chyloma in the Neck

Cited by 2 publications

References 0 publications

Lymphoscintigraphic Demonstration of Chyle Leak After Kidney Transplantation and Gamma Camera Detection of Radioactivity in Chylous Aspirate

Lymphoscintigraphic Demonstration of Chyle Leak After Kidney Transplantation and Gamma Camera Detection of Radioactivity in Chylous Aspirate

Cervical lymphocele: A rare complication following salvage surgery for ocular adnexal apocrine adenocarcinoma. A case report and review of the literature

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