Spontaneousrupture of a giant thoracic duct cyst presenting with abdominal pain and a tension chylothorax

Garner, Megan; Duvva, Dileep; Gosney, John R.; Buderi, Silviu

doi:10.1093/icvts/ivaa177

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…However, FNA may be a risk factor for thoracic duct cyst infection. There has been a case of uncontrolled chylothorax after FNA of a thoracic duct cyst that required surgery (3). Therefore, physicians must carefully judge whether or not FNA is necessary.…”

Section: Discussionmentioning

confidence: 99%

“…Although the risk of infection has been reported for mediastinal thoracic duct cyst, the infection rate may be very low (3). Given the rarity of these lesions, there is no treatment guideline for mediastinal thoracic duct cyst, and there is some controversy regarding the most appropriate mode of treatment (8).…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with a mediastinal thoracic duct cyst are asymptomatic and are incidentally identified, although symptoms such as chest discomfort, dysphagia and dyspnea are observed in rare cases (2). There has been a report of chylothorax due to rupture of a thoracic duct cyst as well as a report of fineneedle aspiration (FNA) for the diagnosis of thoracic duct cyst (2,3).…”

Section: Introductionmentioning

confidence: 99%

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Mediastinal Thoracic Duct Cyst Infection after Endoscopic Submucosal Dissection for Early Esophageal Cancer

et al. 2023

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A mediastinal thoracic duct cyst that originates from the thoracic duct is a very rare disease in the mediastinum. There have been no reports of mediastinal thoracic duct cyst infection caused by endoscopic treatment. This is the first case of mediastinal thoracic duct cyst infection after endoscopic submucosal dissection for early esophageal cancer. We herein report a 75-year-old man with mediastinal thoracic duct cyst infection caused by esophageal endoscopic submucosal dissection. In cases where a mediastinal thoracic duct cyst is found before performing endoscopic esophageal treatment, we should carefully consider the potential risk of post-treatment cyst infection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mediastinal Thoracic Duct Cyst Infection after Endoscopic Submucosal Dissection for Early Esophageal Cancer

et al. 2023

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“…is patient required drainage of several liters of chyle from the pleural cavity prior to surgical ligation by thoracic surgery. [3] As of 2015, there have been a total of 62 reports of thoracic duct cysts reported (30 mediastinal, 31 cervical, and 1 abdominal). [2] Given the rarity of thoracic duct cysts and the intermittent nature of the cystic dilation, these cysts are difficult to identify and could be missed as etiology for patients' symptoms.…”

Section: Discussionmentioning

confidence: 99%

A rare case of recurrent cystic dilatation of the cisterna chyli treated via an interventional approach

Patel

2021

AJIR

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A 27-year-old man with a long history of intermittent, severe abdominal pain for approximately 10 years was evaluated by interventional radiology for a retrocrural cystic lesion found on magnetic resonance imaging (MRI). Prior to evaluation, he was extensively worked up by several gastrointestinal specialties and multiple surgeons without clear etiology of his abdominal pain. This retrocrural cystic lesion found on MRI was thought to be the source of his cyclic abdominal pain occurring every few months. Since the pain was aggravated by the consumption of fatty foods, the patient was advised to intake a large quantity of fatty foods and return for repeat serial computed tomography (CT) scans until this cystic lesion could be identified. Once identified, he was taken back to the procedural CT scanner for drainage and embolization with a mixture of N-butyl cyanoacrylate glue and lipiodol (1:3 ratio). 3 years post-intervention, this patient is now asymptomatic with complete resolution of his pain.

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A case of a thoracic duct cyst extending from the mediastinum to the cisterna chyli resected using bilateral thoracoscopic surgery in the prone position

Miyamoto,

Lee,

Ishidate

et al. 2023

surg case rep

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Background Thoracic duct cysts are extremely rare mediastinal tumors. We report a case of a thoracic duct cyst extending from the caudal aspect of the left main bronchus to the left renal artery that was safely and completely resected via bilateral thoracoscopic surgery in the prone position. Case presentation A 77-year-old male was referred to our hospital for follow-up computed tomography (CT) of prostate cancer, which revealed a mediastinal tumor and fatty low-density along the posterior mediastinum of the para-aortic artery with a slightly high-density component. Magnetic resonance imaging revealed a T2-weighted image with high intensity. The preoperative radiological diagnosis was lipoma or well-differentiated liposarcoma. CT in the prone position suggested that the tumor could be resected from the thoracic cavity to the caudal side, and bilateral thoracoscopic surgery was performed in the prone position. Based on the surgical findings, the tumor was diagnosed as a thoracic duct cyst rather than a lipoma. Dissection around the thoracic duct cyst was performed using a vessel-sealing system to prevent leakage of the chyle, and reliable clipping was performed to resect the cisterna chyli. Histopathological examination revealed smooth muscle structures around the cyst, suggestive of a thoracic duct cyst. The diagnosis of a thoracic duct cyst was made based on a high triglyceride level of 1310 mg/dL on examination of the milky-white cyst fluid. The patient's postoperative course was uneventful, and he was discharged 4 days postoperatively. A CT scan performed 13 months after surgery showed no recurrence. Conclusions A rare thoracic duct cyst extending from the mediastinum to the cisterna chyli was safely and completely resected using bilateral thoracoscopic surgery, with the patient in the prone position.

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Spontaneousrupture of a giant thoracic duct cyst presenting with abdominal pain and a tension chylothorax

Cited by 4 publications

References 4 publications

Mediastinal Thoracic Duct Cyst Infection after Endoscopic Submucosal Dissection for Early Esophageal Cancer

Mediastinal Thoracic Duct Cyst Infection after Endoscopic Submucosal Dissection for Early Esophageal Cancer

A rare case of recurrent cystic dilatation of the cisterna chyli treated via an interventional approach

A case of a thoracic duct cyst extending from the mediastinum to the cisterna chyli resected using bilateral thoracoscopic surgery in the prone position

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